Carla Fernandez
Behavior Technician in Colwich, KS. Individual provider (NPI-1).
NPI number1164093555
StatusActive
Last updated in NPPESJul 7, 2021
Details
- NPI
- 1164093555
- Entity type
- Individual (NPI-1)
- Name
- Carla Fernandez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2021
- Certification date
- Jul 7, 2021
- Last updated
- Jul 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
709 Brookside PlColwich, KS 67030-9683
Phone 131-636-4876
Mailing address
709 Brookside PlColwich, KS 67030-9683
Phone 131-636-4876
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 147 Behavior Technician providers in Colwich · All 167 providers in Colwich
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