Individual
FABIOLA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 QUINCY ST, HAMPTON, VA 23661-2031
(908) 674-5199
Mailing address
625 QUINCY ST, HAMPTON, VA 23661-2031
(908) 674-5199
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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