Individual
ADRIANO FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25339 SW 107TH CT, HOMESTEAD, FL 33032-6344
(786) 357-2778
Mailing address
25339 SW 107TH CT, HOMESTEAD, FL 33032-6344
(786) 357-2778
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-25-15943
FL
106S00000X
Behavior Technician
RBT-20-120181
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107619200
—
FL
Enumeration date
08/11/2020
Last updated
03/24/2025
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