Active NPIIndividual provider

Idalisse M Fernandez

Behavior Technician in Wellesley Hills, Massachusetts

NPI Number1104554989
Practice location
35 Walnut St, Wellesley Hills, MA 02481-2101
Fax
—
Last updated
August 10, 2022

Idalisse Marie Fernandez is a Behavior Technician based in Wellesley Hills, MA. Idalisse Marie Fernandez practices in Wellesley Hills, MA. The NPI Number for Idalisse Marie Fernandez is 1104554989. The current practice location address for Idalisse Marie Fernandez is 35 Walnut St, Wellesley Hills, MA 02481-2101 and can be reached out via phone at 617-631-0219.

Provider Profile Details

NPI Number
1104554989
Provider Name
Idalisse Marie Fernandez
Provider Entity Type
Individual
Gender
Female
Address
35 Walnut St, Wellesley Hills, MA 02481-2101
Phone Number
617-631-0219
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
No
Provider Enumeration Date
August 10, 2022
Last Update Date
August 10, 2022
Certification Date
August 10, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
35 Walnut St
Wellesley Hills, MA 02481-2101
Zip
02481-2101
Phone Number
617-631-0219
Wellesley Hills, MA 02481Get directions →

Provider Business Mailing Address Details

Address
35 Walnut St
Wellesley, MA 02481-2101
City
Wellesley
State
MA
Zip
02481-2101

License Information

Taxonomy
Behavior Technician · 106S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Idalisse M Fernandez?

The NPI number of Idalisse M Fernandez is 1104554989. It was assigned on August 10, 2022 and is currently active in the NPPES registry.

What is the specialty of Idalisse M Fernandez?

Idalisse M Fernandez is registered under the primary taxonomy Behavior Technician (code 106S00000X).

Where does Idalisse M Fernandez practice?

The practice location is 35 Walnut St, Wellesley Hills, MA 02481-2101. The office can be reached at 617-631-0219 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104554989 directly on the NPPES registry website.

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