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Individual

CRYSTAL HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
801 OAKHURST DR, EVANS, GA 30809-3711
(706) 572-6031
Mailing address
10175 FORTUNE PKWY UNIT 903, JACKSONVILLE, FL 32256-6755
(904) 538-0713

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-65974
GA
106S00000X
Behavior Technician
RBT-18-57029

Other

Enumeration date
05/31/2018
Last updated
07/24/2025
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