Most Relevant Information
Provider Data
| NPI Number: | 1003698531 |
| Provider Name: | KASSANDRA HERNANDEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/18/2023 |
| Last Updated: | 12/19/2023 |
Provider Practice Location
5325 N FRESNO ST STE 106
FRESNO
CA
937106849
Practice Location Phone/Fax
| Phone: | 8774182978 |
| Fax: |
Provider Mailing Location
350 FAIRWAY DR STE 101
DEERFIELD BEACH
FL
334411834
Provider Mailing Phone/Fax
| Phone: | 8774182978 |
| Fax: | 8665002186 |