| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ANDREA LAUREN HERNANDEZ | 1295396620 | 2023-02-11 |
Andrea Lauren Hernandez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1295396620. Registration indicates Andrea Lauren Hernandez is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Ms. Andrea Lauren Hernandez R.B.T |
| Other Provider Name | Miss Andrea Lauren Enriquez |
| Practice Office Address | 4284 TRAIL BOSS DR CASTLE ROCK, CO US |
| Practice Office Telephone | 7205123970 |
| Mailing Address | 4284 TRAIL BOSS DR CASTLE ROCK, CO 801047521 US |
| Business Telephone | 7205123970 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician | RBT-23-255630
CO |