Individual
JESSICA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9994 SOWDER VILLAGE SQ # 102, MANASSAS, VA 20109-5464
(855) 832-6727
Mailing address
5932 COVERDALE WAY APT M, ALEXANDRIA, VA 22310-5414
(732) 645-6034
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-366082
VA
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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