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Individual

ROXANY FERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
609 BEACH RD APT 3B, BAXLEY, GA 31513-9273
(305) 215-3655
Mailing address
609 BEACH RD APT 3B, BAXLEY, GA 31513-9273
(305) 215-3655

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB112978
GA
103K00000X
Behavior Analyst
Primary
LBA003005
GA
225200000X
Physical Therapy Assistant
29647
FL

Other

Enumeration date
02/21/2020
Last updated
08/13/2026
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