Larina Adriana Hernandez
Individual provider Active NPI Behavior Technician · Oakley, CA
NPI 1700377397 · NPPES record last updated May 20, 2018
Key facts
- NPI
- 1700377397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2451 Talaria Dr
Oakley, CA 94561-5082 - Phone
- (925) 783-4830
- NPI assigned
- May 20, 2018
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
2451 Talaria Dr
Oakley, CA 94561-5082
Mailing address
2451 Talaria Dr
Oakley, CA 94561-5082
Phone (925) 783-4830
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F778778 | Other | CA | DRIVERS LICENSE |
Other providers in Oakley, CA
- Charlee Haller
- Lakshmi Deepa Hanumanthu
- Wanda N Harris
- Jennifer Hays
- Megan Henderson
- Karamia Hester
- Katie Hoellwarth
- Monica A Hurney
- Osazee Emmanuel Elkan Idahosa
- Abinye Chishol Jaja
All providers in Oakley, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.