Marisela Hernandez

Individual provider Active NPI Behavior Technician · Kerman, CA

NPI 1134064744 · NPPES record last updated Apr 21, 2026

Key facts

NPI
1134064744
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
15845 W Dylan Ave
Kerman, CA 93630-9343
Phone
(559) 385-6723
NPI assigned
Apr 21, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

15845 W Dylan Ave
Kerman, CA 93630-9343

Mailing address

15845 W Dylan Ave
Kerman, CA 93630-9343

Other providers in Kerman, CA

All providers in Kerman, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.