Most Relevant Information
Provider Data
| NPI Number: | 1003491168 |
| Provider Name: | JESSICA HERNANDEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/10/2021 |
| Last Updated: | 03/10/2021 |
Provider Practice Location
12222 S 1000 E STE 3
DRAPER
UT
840203203
Practice Location Phone/Fax
| Phone: | 8019873592 |
| Fax: |
Provider Mailing Location
12222 S 1000 E STE 3
DRAPER
UT
840203203
Provider Mailing Phone/Fax
| Phone: | 8019873592 |
| Fax: |