Individual
MS. MACARENA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP/BCBA
Contact information
Practice address
7175 COLUMBIA GATEWAY DR, SUITE A, COLUMBIA, MD 21046-2534
(888) 344-5977
Mailing address
750 AZALEA DR, ROCKVILLE, MD 20850-2015
(301) 785-5334
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
039
MD
235Z00000X
Speech-Language Pathologist
Primary
06572
MD
Other
Enumeration date
03/15/2012
Last updated
07/14/2016
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