Individual
TRACY HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8725 S 212TH ST, KENT, WA 98031-1921
(425) 658-3016
Mailing address
8725 S 212TH ST, KENT, WA 98031-1921
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA60826577
WA
Other
Enumeration date
07/15/2015
Last updated
03/08/2024
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