Carly S Hernandez

NPI #1265141477 in Zeeland, Michigan

Provider Information

NPI Number: 1265141477
Entity Type: Individual
Name: Carly S Hernandez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 16, 2022
Last Updated: Mar 21, 2023

Practice Location

Address: 201 ROYAL PARK DR
City: Zeeland
State: Michigan
ZIP Code: 49464-2040
Phone: (616) 970-4172

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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