Individual
GENESIS FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19600 JACOB AVE, CERRITOS, CA 90703-7526
(562) 229-7895
Mailing address
16700 NORWALK BLVD, CERRITOS, CA 90703-1838
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
235Z00000X
Speech-Language Pathologist
Primary
38468
CA
Other
Enumeration date
11/02/2020
Last updated
05/13/2026
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