Individual
AMY MARIE FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14966 SW 22ND ST, MIAMI, FL 33185-5802
(305) 984-2875
Mailing address
14966 SW 22ND ST, MIAMI, FL 33185-5802
(305) 984-2875
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/14/2024
Last updated
12/14/2024
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