Individual
ELIANNA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
568 SANDHURST DR, FAYETTEVILLE, NC 28304-4426
(910) 484-1711
Mailing address
2919 BREEZEWOOD AVE STE 101, FAYETTEVILLE, NC 28303-5283
(910) 484-1711
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ABAT-13290
NC
106S00000X
Behavior Technician
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Other
Enumeration date
01/12/2023
Last updated
01/17/2023
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