Individual
AYANA MARISOL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7011 COUNTRY DAY LN, LAS VEGAS, NV 89119-4672
(702) 417-2465
Mailing address
7011 COUNTRY DAY LN, LAS VEGAS, NV 89119-4672
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/12/2019
Last updated
01/12/2019
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