Most Relevant Information
Provider Data
| NPI Number: | 1003440959 |
| Provider Name: | JESSICA FERNANDEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/01/2020 |
| Last Updated: | 06/02/2022 |
Provider Practice Location
905 NW 165TH AVE
PEMBROKE PINES
FL
330281435
Practice Location Phone/Fax
| Phone: | 8182007004 |
| Fax: |
Provider Mailing Location
13195 SW 134TH ST STE 201
MIAMI
FL
331864585
Provider Mailing Phone/Fax
| Phone: | 7869772599 |
| Fax: |