# MARIEL CREMONIE FERNANDEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1528363421
- **Gender:** F
- **Credential:** BCBA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | 1-04-2082 | TX | Yes |

## Other

- **Enumeration date:** 01/24/2011
- **Last updated:** 05/27/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1-04-2082 | MS, BCBA | TX |
| 01 | — | 1-04-2082 | BCBA | — |