Marissa Hernandez, is a
Behavior Technician based in Fresno, California. Marissa Hernandez is licensed to practice in * (Not Available) (license number ) and her current practice location is
496 S Barton, Fresno, California. She can be reached at her office (for appointments etc.) via phone at
(559) 860-4422.
NPI number for Marissa Hernandez is 1669162905 and her current mailing address is 350 Fairway Dr Ste 101, Deerfield Beach, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669162905.
Healthcare Provider's Profile
| Full Name | Marissa Hernandez |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 496 S Barton, Fresno, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1669162905
- Provider Enumeration Date: 05/10/2023
- Last Update Date: 02/12/2024
Medical Identifiers
Medical identifiers for Marissa Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669162905 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marissa Hernandez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Marissa Hernandez,
350 Fairway Dr Ste 101,
Deerfield Beach, FL 33441-1834
Ph: (877) 418-2978 | Marissa Hernandez,
496 S Barton,
Fresno, CA 93750-6849
Ph: (559) 860-4422 |
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