Most Relevant Information
Provider Data
| NPI Number: | 1003667411 |
| Provider Name: | JULIAN DECARLO HERNANDEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | 240781716 |
Most Important Dates
| Enumeration Date: | 04/01/2024 |
| Last Updated: | 04/01/2024 |
Provider Practice Location
1900 E LOS ANGELES AVE
SIMI VALLEY
CA
930656560
Practice Location Phone/Fax
| Phone: | 8055370620 |
| Fax: |
Provider Mailing Location
996 ROYAL MARCO WAY
MARCO ISLAND
FL
341451829
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |