Individual
BLAIR FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
12650 N BEACH ST STE 146, FORT WORTH, TX 76244-4253
(682) 238-1872
Mailing address
12650 N BEACH ST STE 146, FORT WORTH, TX 76244-4253
(682) 238-1872
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-227265
—
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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