Victor Jose Fernandez
Behavior Technician in Homestead, FL. Individual provider (NPI-1).
NPI number1003676743
StatusActive
Last updated in NPPESMar 20, 2024
Details
- NPI
- 1003676743
- Entity type
- Individual (NPI-1)
- Name
- Victor Jose Fernandez
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 20, 2024
- Certification date
- Mar 20, 2024
- Last updated
- Mar 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
25869 Sw 139th CtHomestead, FL 33032-6644
Phone 786-859-0430
Mailing address
25869 Sw 139th CtHomestead, FL 33032-6644
Phone 786-859-0430
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