Individual
AILEEN BETHANY HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26720 YNEZ CT, TEMECULA, CA 92591-4659
(951) 813-4034
Mailing address
26393 PLUMERIA LN, MURRIETA, CA 92563-6364
(951) 595-5618
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-245735
CA
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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