Fernandez, Maydonis

Fernandez, Maydonis is an sole proprietor health care provider with primary practice located at 14367 Swv 158Th Path , Miami FL 33196. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Fernandez, Maydonis can be contacted via phone (305) 308-4696.

Contact Information

Primary practice address
14367 Swv 158Th Path Miami FL 33196
Phone: (305) 308-4696
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1265881924
LBN Legal business name Fernandez, Maydonis
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2016
Last updated Nov 3rd, 2021 - about 4 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 1265881924 NPPES
Florida MEDICAID 019642700

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