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NPI Code Detail

MEDICARE: BRENDA PAOLA HERNANDEZ

MEDICARE: BRENDA PAOLA 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 TechnicianAZ

General Provider Information

NPI Number : 1760334007
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDA PAOLA HERNANDEZ
Provider Business Mailing Address
First Line : 21045 N 9TH PL STE 204
Second Line :
City : PHOENIX
State : AZ
Zip : 85024-5635
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 21045 N 9TH PL STE 204
Second Line :
City : PHOENIX
State : AZ
Zip : 85024-5635
Country : US
Telephone Number : 480-251-6439
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/10/2026

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Directions to “ BRENDA PAOLA HERNANDEZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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