Healthcare Provider Details
I. General information
NPI: 1609546142
Provider Name (Legal Business Name): ADRIANA HERNANDEZ ONOFRE RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/16/2021
Last Update Date: 06/14/2025
Certification Date: 06/14/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1737 N CENTRAL AVE APT 1098
GOODYEAR AZ
85338-7208
US
IV. Provider business mailing address
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS IN
46268-6135
US
V. Phone/Fax
- Phone: 626-393-3051
- Fax:
- Phone: 855-324-0885
- Fax: 317-520-8200
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171R00000X |
| Taxonomy | Interpreter |
| License Number | 102185 |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | RBT-21-185082 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: