Healthcare Provider Details

I. General information

NPI: 1417893504
Provider Name (Legal Business Name): SARA MUNOZ HERNANDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 CARR ST APT A
WATSONVILLE CA
95076-4721
US

IV. Provider business mailing address

32 CARR ST APT A
WATSONVILLE CA
95076-4721
US

V. Phone/Fax

Practice location:
  • Phone: 831-275-2794
  • Fax:
Mailing address:
  • Phone: 831-275-2794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: