Fernandez, Maydelis

Fernandez, Maydelis is an individual health care provider with primary practice located at 10776 Nw 83Rd Ter Unit 4 , Doral FL 33178-1692. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Technologists, Technicians & Other Technical Service Providers / Technician, Other. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Fernandez, Maydelis can be contacted via phone (305) 587-0176.

Contact Information

Primary practice address
10776 Nw 83Rd Ter Unit 4 Doral FL 33178-1692
Phone: (305) 587-0176
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT15-10600 Florida
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X 1510600 Florida

Profile Details

NPI number 1477902138
LBN Legal business name Fernandez, Maydelis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2016
Last updated Aug 22nd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477902138 NPPES
Florida MEDICAID 017706500

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