Individual
ANDREA DENISE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
332 S MICHIGAN AVE STE 900, CHICAGO, IL 60604-4393
(813) 395-1073
Mailing address
358 BANCROFT CT APT 1, ROCKFORD, IL 61107-5128
(815) 540-5636
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-274860
IL
Other
Enumeration date
12/14/2024
Last updated
12/14/2024
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