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NPI Code Detail

MEDICARE: ROCIO HERNANDEZ

MEDICARE: ROCIO 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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1649753401
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROCIO HERNANDEZ
Provider Business Mailing Address
First Line : 3031 C ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95816-3326
Country : US
Telephone Number : 916-442-2396
Fax Number :
Provider Business Practice Location Address
First Line : 1446 ETHAN WAY STE 100
Second Line :
City : SACRAMENTO
State : CA
Zip : 95825-2235
Country : US
Telephone Number : 877-828-8476
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2018
Last Update Date : 01/26/2023

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Directions to “ ROCIO HERNANDEZ ” Practice Location

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