Individual
MRS. DEBORAH ANN HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
921 CHALBOURNE DR, CHESAPEAKE, VA 23322-9004
(757) 774-3011
Mailing address
921 CHALBOURNE DR, CHESAPEAKE, VA 23322-9004
(757) 774-3011
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000521
VA
Other
Enumeration date
11/23/2014
Last updated
11/23/2014
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