Individual
JOSEPH WILLIAM FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1707 VILLAGE CENTER CIR STE 140, LAS VEGAS, NV 89134-0577
(702) 766-9840
Mailing address
7365 PRAIRIE FALCON RD STE 150, LAS VEGAS, NV 89128-0808
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-391103
NV
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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