Individual
AISLY MARIA FERNANDEZ GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12761 SW 267TH ST, HOMESTEAD, FL 33032-7854
(786) 604-3688
Mailing address
12761 SW 267TH ST, HOMESTEAD, FL 33032-7854
(786) 604-3688
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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