Individual
ANA FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
375 WESTGATE DR, BROCKTON, MA 02301-1818
(866) 727-8274
Mailing address
2550 N HOLLYWOOD WAY STE 301, BURBANK, CA 91505-5025
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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