Individual
AMANDA JUDITH HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
722 W COUNTY RD, JERSEYVILLE, IL 62052-2598
(305) 846-9807
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-159087
IL
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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