Individual
BISMAK FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
7715 NW 48TH ST, 350B, DORAL, FL 33166-5455
(305) 846-9807
(305) 846-9711
Mailing address
10149 SW 223RD TER, CUTLER BAY, FL 33190-1570
(786) 537-4294
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
263083308
FL
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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