Individual
AMY K FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 ILLINOIS RD, CLEARWATER, FL 33756-4547
(727) 204-6958
Mailing address
1650 ILLINOIS RD, CLEARWATER, FL 33756-4547
(727) 204-6958
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0010335
FL
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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