| NPI | 1699220400 |
|---|---|
| Former Name | JENNIFER MARIE HERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-19-39821) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-50221) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2023-05-08 |