Individual
LAURA MEILINK HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3040 AVEMORE SQUARE PL, CHARLOTTESVILLE, VA 22911-7228
(434) 220-0089
(434) 220-2536
Mailing address
1251 CLAY CT, CROZET, VA 22932-2883
(804) 432-9847
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001580
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285992743
GROUP NPI
VA
Enumeration date
03/24/2020
Last updated
03/24/2020
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