Provider Demographics
NPI:1609546142
Name:HERNANDEZ ONOFRE, ADRIANA (RBT)
Entity type:Individual
Prefix:
First Name:ADRIANA
Middle Name:
Last Name:HERNANDEZ ONOFRE
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:ADRIANA
Other - Middle Name:
Other - Last Name:ONOFRE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MEDICAL INTERPRETER
Mailing Address - Street 1:3500 DEPAUW BLVD STE 3070
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-6135
Mailing Address - Country:US
Mailing Address - Phone:855-324-0885
Mailing Address - Fax:317-520-8200
Practice Address - Street 1:1737 N CENTRAL AVE APT 1098
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-7208
Practice Address - Country:US
Practice Address - Phone:626-393-3051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-16
Last Update Date:2025-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRBT-21-185082106S00000X
102185171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician