Teresa Fernandez Medina
Behavior Technician in Miami, FL. Individual provider (NPI-1).
NPI number1023697331
StatusActive
Last updated in NPPESApr 5, 2021
Details
- NPI
- 1023697331
- Entity type
- Individual (NPI-1)
- Name
- Teresa Fernandez Medina
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 5, 2021
- Certification date
- Apr 5, 2021
- Last updated
- Apr 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | FL | Yes |
Practice location
11229 Sw 231st LnMiami, FL 33170-7621
Phone 786-346-7490
Mailing address
11229 Sw 231st LnMiami, FL 33170-7621
Phone 786-346-7490
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