Individual
ANA VIRGINIA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
730 SAND LAKE RD STE 176, ORLANDO, FL 32809-7747
(786) 578-2389
(407) 264-6097
Mailing address
13385 TWINWOOD LN APT 1611, ORLANDO, FL 32837-5556
(786) 578-2389
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-291849
FL
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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