Most Relevant Information
Provider Data
| NPI Number: | 1003515404 |
| Provider Name: | GEORGIA L FERNANDEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/24/2023 |
| Last Updated: | 02/24/2023 |
Provider Practice Location
18807 SW 100TH AVE
CUTLER BAY
FL
331576907
Practice Location Phone/Fax
| Phone: | 7863029413 |
| Fax: |
Provider Mailing Location
18807 SW 100TH AVE
CUTLER BAY
FL
331576907
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |