Individual
CHRISTINE MARIE FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA, BCBA
Contact information
Practice address
16 TAYLOR PL, WESTPORT, CT 06880-4313
(203) 529-5123
(888) 761-5161
Mailing address
16 TAYLOR PL, WESTPORT, CT 06880-4313
(203) 529-5123
(888) 761-5161
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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