Most Relevant Information
Provider Data
| NPI Number: | 1003670274 |
| Provider Name: | IRENE FERNANDEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/08/2024 |
| Last Updated: | 06/21/2024 |
Provider Practice Location
3106 13TH ST SW
LEHIGH ACRES
FL
339762914
Practice Location Phone/Fax
| Phone: | 3059510493 |
| Fax: |
Provider Mailing Location
3106 13TH ST SW
LEHIGH ACRES
FL
339762914
Provider Mailing Phone/Fax
| Phone: | 3059510493 |
| Fax: |