Vivian Keily Fernandez
Behavior Technician in Miami Gardens, FL. Individual provider (NPI-1).
NPI number1043085665
StatusActive
Last updated in NPPESNov 24, 2023
Details
- NPI
- 1043085665
- Entity type
- Individual (NPI-1)
- Name
- Vivian Keily Fernandez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 24, 2023
- Certification date
- Nov 24, 2023
- Last updated
- Nov 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | 23311758 | FL | Yes |
Practice location
4322 Nw 203rd StMiami Gardens, FL 33055-1545
Phone 786-560-1188
Mailing address
4322 Nw 203rd StMiami Gardens, FL 33055-1545
Phone 786-560-1188
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