Individual
LAURA S HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10514 RACETRACK RD STE G, BERLIN, MD 21811-3241
(410) 973-2301
Mailing address
10514 RACETRACK RD STE G, BERLIN, MD 21811-3241
(410) 973-2301
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
483106300
—
MD
Enumeration date
09/17/2018
Last updated
09/17/2018
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