Individual
ALEXANDRIA VICTORIA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11865 SW 46TH ST, MIAMI, FL 33175-4739
(786) 343-5857
Mailing address
11865 SW 46TH ST, MIAMI, FL 33175-4739
(786) 343-5857
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-268873
FL
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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