Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst |
NPI | 1013215490 |
---|---|
Provider Name | Ms. Maria Guadalupe Hernandez |
First Address | Las Vegas, NV 89104-3735 |
Second Address | Las Vegas, NV 89121-5270 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2011 |
Last Update Date | 15/05/2019 |