Most Relevant Information
Provider Data
| NPI Number: | 1003509464 |
| Provider Name: | STEPHANIE HERNANDEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/31/2023 |
| Last Updated: | 05/31/2023 |
Provider Practice Location
3825 W GARDEN GROVE BLVD APT 16
ORANGE
CA
928684858
Practice Location Phone/Fax
| Phone: | 7142099624 |
| Fax: |
Provider Mailing Location
3825 W GARDEN GROVE BLVD APT 16
ORANGE
CA
928684858
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |