Individual
ALEXIS FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2255 ENTERPRISE DR STE 5501, WESTCHESTER, IL 60154-5808
(708) 965-4123
Mailing address
2000 N LINCOLN PARK W UNIT 707, CHICAGO, IL 60614-4708
(702) 480-9295
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-46788
IL
103K00000X
Behavior Analyst
4306
MA
103K00000X
Behavior Analyst
5532
TX
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/11/2014
Last updated
01/04/2023
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