Angelica Fernandez

NPI #1689280844 in Broken Arrow, Oklahoma

Provider Information

NPI Number: 1689280844
Entity Type: Individual
Name: Angelica Fernandez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 22, 2020
Last Updated: Sep 22, 2023

Practice Location

Address: 3501 W KENOSHA ST
City: Broken Arrow
State: Oklahoma
ZIP Code: 74012-8948
Phone: (918) 994-2764

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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