Individual
DAVID RICHARD FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9309 CENTER ST STE 101, MANASSAS, VA 20110-5599
(703) 546-1834
Mailing address
1209 33RD ST NW, WASHINGTON, DC 20007-3202
(727) 698-1333
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-318330
DC
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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