Individual
GILDA HERNDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 N HANCOCK ST, PHILADELPHIA, PA 19123-2334
(516) 761-1103
Mailing address
6 JOHN ST, ISLIP TERRACE, NY 11752-1512
(516) 761-1103
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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