Provider Demographics
NPI:1891440756
Name:CLAUDIA FERNANDEZ INC
Entity Type:Organization
Organization Name:CLAUDIA FERNANDEZ INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTER BEHAVIOR TECHNICHIAN
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-626-5829
Mailing Address - Street 1:9456 SW 145TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1090
Mailing Address - Country:US
Mailing Address - Phone:786-626-5829
Mailing Address - Fax:
Practice Address - Street 1:9456 SW 145TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1090
Practice Address - Country:US
Practice Address - Phone:786-626-5829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-18
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty