Individual
ADA BERTHA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3468 E SAHARA AVE STE 170, LAS VEGAS, NV 89104-4827
(702) 207-0842
Mailing address
3468 E SAHARA AVE STE 170, LAS VEGAS, NV 89104-4827
(702) 207-0842
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
10/24/2019
Last updated
09/02/2022
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