Individual
MRS. THERESA FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
330 SOUTH AVE, FANWOOD, NJ 07023-1325
(888) 966-0746
Mailing address
4 BROWN CT, ANNANDALE, NJ 08801-3409
(908) 735-6840
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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