Delila Hernandez | Moreno Valley, CA • PECOS Search

Delila Hernandez

Behavior Technician

Behavioral Health & Social Service Providers

11735 Hummingbird Pl, Moreno Valley, CA 92557-6161

PECOS Enrollment

Based on the most recent information from CMS, provider Delila Hernandez does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1558127472
Provider Type
Individual
Full Name
Hernandez, Delila
Gender
Female

Sole Proprietor
Yes
Enumeration Date
2/27/2024
Last Updated
9/10/2024

Contact Information

Practice Location

11735 Hummingbird Pl, Moreno Valley, CA 92557-6161

Unlisted Fax

Mailing Location

11735 Hummingbird Pl, Moreno Valley, CA 92557-6161

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106S00000X Primary	Description Behavior Technician Behavioral Health & Social Service Providers	License Unlisted Issuer