Individual
JUAN FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2050 W 56TH ST, SUITE 15-16, HIALEAH, FL 33016-2601
(305) 557-1555
(305) 397-2847
Mailing address
1828 SW 182ND AVE, MIRAMAR, FL 33029-5223
(954) 297-3678
(305) 397-2847
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
106E00000X
Assistant Behavior Analyst
Primary
0-19-9742
FL
Other
Enumeration date
02/20/2014
Last updated
05/03/2021
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