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NPI Code Detail

MEDICARE: HALEY ANN HERNANDEZ

MEDICARE: HALEY ANN 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 : 1700730108
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALEY ANN HERNANDEZ
Provider Business Mailing Address
First Line : 5626 AVENIDA CLASSICA
Second Line :
City : PALMDALE
State : CA
Zip : 93551-1137
Country : US
Telephone Number : 323-291-7100
Fax Number :
Provider Business Practice Location Address
First Line : 4401 CRENSHAW BLVD STE 215
Second Line :
City : LOS ANGELES
State : CA
Zip : 90043-1200
Country : US
Telephone Number : 323-291-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2026
Last Update Date : 02/23/2026

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Directions to “ HALEY ANN HERNANDEZ ” Practice Location

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