Individual
AISHAH FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 S LAKE DESTINY RD STE 350, MAITLAND, FL 32751-7222
(407) 616-0493
Mailing address
PO BOX 931142, ATLANTA, GA 31193-1142
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-384555
—
Other
Enumeration date
11/01/2024
Last updated
06/04/2026
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