Individual
MARIA GABRIELA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
475 IRVING AVE, SYRACUSE, NY 13210-1756
(315) 464-3555
Mailing address
475 IRVING AVE, SYRACUSE, NY 13210-1756
(315) 464-3555
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
003208
NY
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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