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Individual

JANNY FERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
120 W 50TH ST, HIALEAH, FL 33012-3720
(305) 343-3107
Mailing address
120 W 50TH ST, HIALEAH, FL 33012-3720
(305) 343-3107

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-26-16820
FL
106S00000X
Behavior Technician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106S00000X
FL
Enumeration date
03/18/2022
Last updated
02/02/2026
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