Healthcare Provider Details

I. General information

NPI: 1245158997
Provider Name (Legal Business Name): CIARA HERNANDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 S ROGERS RD
OLATHE KS
66062-1706
US

IV. Provider business mailing address

7000 LAMAR AVE
OVERLAND PARK KS
66204-1429
US

V. Phone/Fax

Practice location:
  • Phone: 913-764-2887
  • Fax:
Mailing address:
  • Phone: 913-998-0238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: