Individual
ANDRIA GUIBERT FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3603 ROYALTY CT APT C, TAMPA, FL 33614-3245
(813) 526-5266
Mailing address
3603 ROYALTY CT APT C, TAMPA, FL 33614-3245
(813) 526-5266
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
FL
106S00000X
Behavior Technician
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110279000
—
FL
Enumeration date
04/01/2022
Last updated
10/07/2024
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