Individual
FAITH V HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
107 N 3RD AVE, DURANT, OK 74701-4700
(580) 706-6936
Mailing address
107 N 3RD AVE, DURANT, OK 74701-4700
(580) 706-6936
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-191806
OK
Other
Enumeration date
01/04/2022
Last updated
09/16/2025
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