MEDICARE: ABIGAIL NUNEZ 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
1	106S00000X	Behavior Technician		CA

General Provider Information

NPI Number	:	1609721141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL NUNEZ HERNANDEZ

Provider Business Mailing Address
First Line	:	6949 LAUREL CANYON BLVD APT 305
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91605-6815
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6949 LAUREL CANYON BLVD APT 305
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91605-6815
Country	:	US
Telephone Number	:	323-508-8994
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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