Idalisse Marie Fernandez
NPI #1104554989 in Wellesley Hills, Massachusetts
Provider Information
- NPI Number
- 1104554989
- Entity Type
- Individual
- Name
- Idalisse Marie Fernandez
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Aug 10, 2022
- Last Updated
- Aug 10, 2022
Practice Location
- Address
- 35 WALNUT ST
- City
- Wellesley Hills
- State
- Massachusetts
- ZIP Code
- 02481-2101
- Phone
- (617) 631-0219
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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