Tammy Fernandez

NPI #1306562954 in Mascotte, Florida

Provider Information

NPI Number: 1306562954
Entity Type: Individual
Name: Tammy Fernandez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 17, 2022
Last Updated: Oct 17, 2022

Practice Location

Address: 3915 W CARDINAL PINE DR
City: Mascotte
State: Florida
ZIP Code: 34753-8861
Phone: (352) 217-1784

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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