Nicholas Raphael Fernandez
Behavior Technician in Silver Spring, MD. Individual provider (NPI-1).
NPI number1245098409
StatusActive
Last updated in NPPESMar 11, 2024
Details
- NPI
- 1245098409
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Raphael Fernandez
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 11, 2024
- Certification date
- Mar 11, 2024
- Last updated
- Mar 11, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
12217 Bushey DrSilver Spring, MD 20902-1014
Phone 301-887-7321
Mailing address
12217 Bushey DrSilver Spring, MD 20902-1014
Phone 301-887-7321
Is something wrong?
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 627 Behavior Technician providers in Silver Spring · All 8,810 providers in Silver Spring
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