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NPI 1255965364

NPI 1255965364 : ASHLEY HERNANDEZ : ATLANTA, GA

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General NPI Number Information
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    NPI Number           |    1255965364
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    Entity Type          |    Individual 
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    Provider Name        |    ASHLEY HERNANDEZ
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/27/2020
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    Last Update Date     |    07/31/2025
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Provider Practice Location Address
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    Address Line         |    3098 PIEDMONT RD NE FL 2 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30305-2637
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    Country              |    US
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    Telephone            |    762-815-0395
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    542 AMHERST ST STE B 
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    City                 |    NASHUA
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    State                |    NH
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    Zip                  |    03063-1016
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    1-22-59131
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    1-22-59131
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    License Number State |    GA
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