Individual
AGNES PARDO HERNANDEZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2658 MESQUITE AVE, ORANGE PARK, FL 32065-7418
(904) 444-7655
Mailing address
2658 MESQUITE AVE, ORANGE PARK, FL 32065-7418
(904) 444-7655
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-298842
FL
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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