Individual
YANET FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
131 ELDEN ST STE 302, HERNDON, VA 20170-4851
(703) 496-4371
Mailing address
16035 SW 97TH AVE, MIAMI, FL 33157-3305
(305) 815-7984
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133003507
VA
103K00000X
Behavior Analyst
1-21-53018
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30017980620001
—
VA
Enumeration date
09/01/2017
Last updated
04/03/2026
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