Brandi Hernandez/ L Hernandez

Individual provider Active NPI Behavior Analyst · North Windham, CT

NPI 1508457672 · NPPES record last updated Feb 1, 2021

Key facts

NPI
1508457672
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
21 Jordan LN
North Windham, CT 06256
Phone
(959) 929-1373
NPI assigned
Feb 1, 2021
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

Interoperability endpoints

  • Direct secure messaging: b.hernandez@inbloom.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

21 Jordan LN
North Windham, CT 06256

Mailing address

21 Jordan LN
North Windham, CT 06256
Phone (959) 929-1373

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address b.Hernandez@inbloom.com Other

Other providers in North Windham, CT

All providers in North Windham, CT · Behavior Analyst in Connecticut

Sources for this page

Verify at the official NPI Registry.