Individual
KYLA RAE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. BCBA
Contact information
Practice address
206 S ORANGE AVE, YUMA, AZ 85364-2245
(928) 750-0623
Mailing address
4589 S LORA LEE AVE, YUMA, AZ 85365-0053
(928) 750-0623
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
08/09/2023
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