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Jonathan E Fernandez

Behavior Technician in Miami, FL. Individual provider (NPI-1).

NPI number1346854312
StatusActive
Last updated in NPPESSep 10, 2020

Details

NPI
1346854312
Entity type
Individual (NPI-1)
Name
Jonathan E Fernandez
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 7, 2020
Certification date
Sep 10, 2020
Last updated
Sep 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-20127265FLYes

Practice location

12975 Sw 192nd St
Miami, FL 33177-3735

Phone 305-281-8762

Mailing address

12975 Sw 192nd St
Miami, FL 33177-3735

Phone 305-281-8762

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