Shannon M Hernandez

NPI #1386307163 in Dorchester, Massachusetts

Provider Information

NPI Number: 1386307163
Entity Type: Individual
Name: Shannon M Hernandez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 18, 2021
Last Updated: Oct 18, 2021

Practice Location

Address: 100 INTERVALE ST APT 2
City: Dorchester
State: Massachusetts
ZIP Code: 02121-2088
Phone: (401) 548-5377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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