Most Relevant Information
Provider Data
| NPI Number: | 1003436973 |
| Provider Name: | ALEJANDRA HERNANDEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | 20-112286 |
Most Important Dates
| Enumeration Date: | 04/21/2020 |
| Last Updated: | 04/21/2020 |
Provider Practice Location
2401 MUSTANG DR
GRAPEVINE
TX
760518640
Practice Location Phone/Fax
| Phone: | 8177226118 |
| Fax: |
Provider Mailing Location
2401 MUSTANG DR
GRAPEVINE
TX
760518640
Provider Mailing Phone/Fax
| Phone: | 8177226118 |
| Fax: |