Provider Demographics
NPI:1851078133
Name:HERNANDEZ, DAPHNE ISABEL (RBT)
Entity Type:Individual
Prefix:
First Name:DAPHNE
Middle Name:ISABEL
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2400 S INTERSTATE 35 STE 190
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-8015
Mailing Address - Country:US
Mailing Address - Phone:737-708-8003
Mailing Address - Fax:737-708-8022
Practice Address - Street 1:2400 S INTERSTATE 35 STE 190
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-8015
Practice Address - Country:US
Practice Address - Phone:737-708-8003
Practice Address - Fax:737-708-8022
Is Sole Proprietor?:No
Enumeration Date:2023-06-29
Last Update Date:2023-06-29
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician