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NPI Code Detail

MEDICARE: CYNTHIA SOFIA HERNANDEZ

MEDICARE: CYNTHIA SOFIA 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
1103K00000XBehavior Analyst103K00000XCA

General Provider Information

NPI Number : 1154247112
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA SOFIA HERNANDEZ
Provider Business Mailing Address
First Line : 255 E RINCON ST STE 219
Second Line :
City : CORONA
State : CA
Zip : 92879-1387
Country : US
Telephone Number : 951-817-5328
Fax Number :
Provider Business Practice Location Address
First Line : 255 E RINCON ST STE 219
Second Line :
City : CORONA
State : CA
Zip : 92879-1387
Country : US
Telephone Number : 951-817-5328
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2026
Last Update Date : 06/25/2026

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Directions to “ CYNTHIA SOFIA HERNANDEZ ” Practice Location

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