Individual
PAOLA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1802 N IMPERIAL AVE # D130, EL CENTRO, CA 92243-1325
(855) 832-6727
Mailing address
701 S KANNER HWY, STUART, FL 34994-3008
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
—
—
247200000X
Other Technician
Primary
—
CA
Other
Enumeration date
01/20/2022
Last updated
01/23/2022
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