Provider Demographics
NPI:1003532797
Name:HERNANDEZ, STEVEN MARIO II
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:MARIO
Last Name:HERNANDEZ
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2342 PROFESSIONAL PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93455-6819
Mailing Address - Country:US
Mailing Address - Phone:805-979-9941
Mailing Address - Fax:
Practice Address - Street 1:1200 21ST ST STE A
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-4608
Practice Address - Country:US
Practice Address - Phone:805-979-9941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-14
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician