Individual
MARYENIA R HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2631 MERRICK RD STE 302, BELLMORE, NY 11710-5784
(646) 741-3593
Mailing address
475 48TH AVE APT 404, LONG ISLAND CITY, NY 11109-5504
(630) 870-8682
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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