Provider Demographics
NPI:1760829725
Name:HERNANDEZ, JENIFER MALASPINA (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:JENIFER
Middle Name:MALASPINA
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:JENIFER
Other - Middle Name:
Other - Last Name:MALASPINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, BCBA
Mailing Address - Street 1:490 S I 35 E
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205-7768
Mailing Address - Country:US
Mailing Address - Phone:940-369-5373
Mailing Address - Fax:
Practice Address - Street 1:490 S I 35 E
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-7768
Practice Address - Country:US
Practice Address - Phone:940-369-5373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-31
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-10-7458103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst