Individual
DAMARIS D FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15750 SW 105TH CT, MIAMI, FL 33157-1568
(305) 720-0059
Mailing address
15750 SW 105TH CT, MIAMI, FL 33157-1568
(305) 720-0059
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-19-9567
FL
Other
Enumeration date
06/17/2016
Last updated
04/02/2019
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