Jacqueline Fernandez

NPI #1093416638 in Kailua, Hawaii

Provider Information

NPI Number: 1093416638
Entity Type: Individual
Name: Jacqueline Fernandez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 10, 2023
Last Updated: Mar 10, 2023

Practice Location

Address: 25 KANEOHE BAY DR UNIT 211212
City: Kailua
State: Hawaii
ZIP Code: 96734-1727
Phone: (808) 388-1683

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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