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NPI Code Detail

MEDICARE: AIYANNA HERNANDEZ

MEDICARE: AIYANNA HERNANDEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician
2103K00000XBehavior AnalystCO

General Provider Information

NPI Number : 1356064778
Entity Type Code : Individual
Provider Name (Legal Business Name) : AIYANNA HERNANDEZ
Provider Business Mailing Address
First Line : 1740 CHAPEL HILLS DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-5452
Country : US
Telephone Number : 719-465-3695
Fax Number :
Provider Business Practice Location Address
First Line : 1740 CHAPEL HILLS DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-5452
Country : US
Telephone Number : 719-465-3695
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2022
Last Update Date : 05/07/2026

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Directions to “ AIYANNA HERNANDEZ ” Practice Location

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