Individual
ADRIAN FERNANDEZ GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4352 CAMBRIDGE ST, LAKE WORTH, FL 33461-2715
(561) 502-3740
Mailing address
4352 CAMBRIDGE ST, LAKE WORTH, FL 33461-2715
(561) 502-3740
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-209546
NV
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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