Individual
MELISSA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33 UTICA DR, WORCESTER, MA 01603-1622
(617) 855-1954
Mailing address
33 UTICA DR, WORCESTER, MA 01603-1622
(617) 855-1954
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/03/2017
Last updated
06/05/2023
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