Idalisse M Fernandez
Behavior Technician in Wellesley Hills, Massachusetts
1104554989- Practice location
- 35 Walnut St, Wellesley Hills, MA 02481-2101
- Phone
- 617-631-0219
- 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 - City
- Wellesley Hills
- State
- Massachusetts
- Zip
- 02481-2101
- Phone Number
- 617-631-0219
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Behavior Technicians near Wellesley Hills, MA
View all Behavior Technicians in Wellesley Hills →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.