Hernandez, Ezequiel Alonzo

Hernandez, Ezequiel Alonzo is an sole proprietor health care provider with primary practice located at 5501 Antique Rose Way , Riverbank CA 95367-9505. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is his primary health care specialty. Hernandez, Ezequiel Alonzo can be contacted via phone (866) 523-4268.

Contact Information

Primary practice address
5501 Antique Rose Way Riverbank CA 95367-9505
Phone: (866) 523-4268
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1700472792
LBN Legal business name Hernandez, Ezequiel Alonzo
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2020
Last updated Dec 14th, 2020 - about 5 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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