Individual
MS. NICOLE LOUISE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32144 CAMINO NUNEZ, TEMECULA, CA 92592
(951) 852-3820
Mailing address
32144 CAMINO NUNEZ, TEMECULA, CA 92592-6357
(951) 852-3820
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
09/29/2018
Last updated
10/19/2020
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