Hernandez, Amanda Yesenia

Hernandez, Amanda Yesenia is an individual health care provider with primary practice located at 1115 14Th St , Modesto CA 95354-1003. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Hernandez, Amanda Yesenia can be contacted via phone (209) 572-2589.

Contact Information

Primary practice address
1115 14Th St Modesto CA 95354-1003
Phone: (209) 572-2589
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1053560334
LBN Legal business name Hernandez, Amanda Yesenia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2008
Last updated Jun 16th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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