Provider Demographics
NPI:1891568119
Name:HERNANDEZ, JOUIE TULAGAN (HIGH SCHOOL DIPLOMA)
Entity type:Individual
Prefix:
First Name:JOUIE
Middle Name:TULAGAN
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:HIGH SCHOOL DIPLOMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3360 TOPAZ LN APT J21
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92831-2653
Mailing Address - Country:US
Mailing Address - Phone:951-973-8206
Mailing Address - Fax:951-973-8206
Practice Address - Street 1:3360 TOPAZ LN APT J21
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92831-2653
Practice Address - Country:US
Practice Address - Phone:951-973-8206
Practice Address - Fax:951-973-8206
Is Sole Proprietor?:No
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst