Individual
AMY HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2432 LA FONDA CIR APT 2, LAS CRUCES, NM 88001-4476
(575) 386-1579
Mailing address
2432 LA FONDA CIR APT 2, LAS CRUCES, NM 88001-4476
(575) 386-1579
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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