Individual
ALESEN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3408 S ATLANTIC AVE # PMD1052, DAYTONA BEACH SHORES, FL 32118-6311
(386) 767-3752
(386) 767-4319
Mailing address
3408 S ATLANTIC AVE, DAYTONA BEACH SHORES, FL 32118-6311
(386) 767-3752
(386) 767-4319
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1022466
FL
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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