Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-15-18134 | CA |
NPI | 1003293796 |
---|---|
Provider Name | Rachel Hernandez |
First Address | Irvine, CA 92606-2417 |
Second Address | Concord, CA 94519-2623 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2015 |
Last Update Date | 28/10/2019 |