Individual
CLARISSA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1445 CELIS ST, SAN FERNANDO, CA 91340-3207
(818) 991-7722
(818) 991-7722
Mailing address
16600 SHERMAN WAY STE 105, VAN NUYS, CA 91406-3876
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-40539
CA
106E00000X
Assistant Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-20-40539
BACB
CA
Enumeration date
07/25/2019
Last updated
10/28/2021
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