Individual
LESLIE FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9600 NW 25TH ST STE PH, DORAL, FL 33172
(305) 597-3861
(305) 597-3863
Mailing address
9600 NW 25TH ST STE PH, DORAL, FL 33172-1416
(305) 597-3861
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-21-13023
FL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/25/2018
Last updated
11/30/2021
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