Provider Demographics
NPI:1043799232
Name:FERNANDEZ ANDRAIN, ZOBEYDA
Entity Type:Individual
Prefix:MS
First Name:ZOBEYDA
Middle Name:
Last Name:FERNANDEZ ANDRAIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1475 FOREST HILL BLVD.
Mailing Address - Street 2:APT. #1
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406
Mailing Address - Country:US
Mailing Address - Phone:561-294-7560
Mailing Address - Fax:
Practice Address - Street 1:1475 FOREST HILL BLVD.
Practice Address - Street 2:#1
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406
Practice Address - Country:US
Practice Address - Phone:561-294-7560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-09
Last Update Date:2018-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician