Individual
DESTINY ANN MARIE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1508 RANCH ROAD 620 S STE 105&103, LAKEWAY, TX 78734-6274
(512) 920-1880
Mailing address
3320 HARMON AVE APT 285, AUSTIN, TX 78705-2163
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-74456
TX
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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