Fernandez, Vanessa

Fernandez, Vanessa is an sole proprietor health care provider with primary practice located at 8200 Nw 41St St Ste 200 , Doral FL 33166-6204. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Fernandez, Vanessa can be contacted via phone (305) 401-5259.

Contact Information

Primary practice address
8200 Nw 41St St Ste 200 Doral FL 33166-6204
Phone: (305) 401-5259
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X ISW8066 Florida

Profile Details

NPI number 1891949152
LBN Legal business name Fernandez, Vanessa
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2008
Last updated May 7th, 2019 - about 5 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 1891949152 NPPES
Florida MEDICAID 019536500

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