Individual
HECTOR FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, BCBA, LBA
Contact information
Practice address
1 LAURA LN, KIAMESHA LAKE, NY 12751-5007
(845) 807-1189
Mailing address
1 LAURA LN, KIAMESHA LAKE, NY 12751-5007
(845) 807-1189
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
003496
NY
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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