Individual
HUMBERTO FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7782 NW 200TH ST, HIALEAH, FL 33015-6647
(305) 432-6550
Mailing address
7782 NW 200TH ST, HIALEAH, FL 33015-6647
(305) 432-6550
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CBHCMS101189
FL
106S00000X
Behavior Technician
RBT-19-81668
FL
171M00000X
Case Manager/Care Coordinator
CBHCMS101189
FL
Other
Enumeration date
07/27/2016
Last updated
09/09/2022
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