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Individual

ADA FERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CBHCMS/RBT

Contact information

Practice address
2103 CORAL WAY STE 603-604, MIAMI, FL 33145-2601
(786) 614-8942
(786) 483-8142
Mailing address
3152 SW 17TH ST, MIAMI, FL 33145-1802
(786) 614-8942

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CBHCMS100019
FL
106S00000X
Behavior Technician
RBT-20-148857
FL
171M00000X
Case Manager/Care Coordinator
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
12/19/2016
Last updated
09/08/2025
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