Individual
JEANNETTE MARIE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
565 CALLE ABOLICION, SAN JUAN, PR 00918-4335
(787) 690-3231
Mailing address
565 CALLE ABOLICION, SAN JUAN, PR 00918-4335
(787) 690-3231
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB688958
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BACB688958
BACB
PR
Enumeration date
12/13/2021
Last updated
12/13/2021
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