Individual
JENNIFER FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1364 E 87TH ST, BROOKLYN, NY 11236-5136
(347) 922-4298
Mailing address
1364 E 87TH ST, BROOKLYN, NY 11236-5136
(347) 922-4298
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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