Tyren T Fernandez
Behavior Technician in Lynn, Massachusetts
1518702596- Practice location
- 145 Lewis St # 306, Lynn, MA 01902-4861
- Phone
- 978-473-3601
- Fax
- —
- Last updated
- July 1, 2024
Tyren T Fernandez is a Behavior Technician based in Lynn, MA. Tyren T Fernandez practices in Lynn, MA. The NPI Number for Tyren T Fernandez is 1518702596 and holds a License No. 22-242403 (MA). The current practice location address for Tyren T Fernandez is 145 Lewis St # 306, Lynn, MA 01902-4861 and can be reached out via phone at 978-473-3601.
Provider Profile Details
- NPI Number
- 1518702596
- Provider Name
- Tyren T Fernandez
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 145 Lewis St # 306, Lynn, MA 01902-4861
- Phone Number
- 978-473-3601
- Primary Taxonomy
- Behavior Technician · 106S00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 1, 2024
- Last Update Date
- July 1, 2024
- Certification Date
- June 30, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 145 Lewis St # 306
Lynn, MA 01902-4861 - City
- Lynn
- State
- Massachusetts
- Zip
- 01902-4861
- Phone Number
- 978-473-3601
Provider Business Mailing Address Details
- Address
- 145 Lewis St # 306
Lynn, MA 01902-4861 - City
- Lynn
- State
- MA
- Zip
- 01902-4861
- Phone Number
- 978-473-3601
License Information
- License Number
- 22-242403
- License State
- MA
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Tyren T Fernandez?
The NPI number of Tyren T Fernandez is 1518702596. It was assigned on July 1, 2024 and is currently active in the NPPES registry.
What is the specialty of Tyren T Fernandez?
Tyren T Fernandez is registered under the primary taxonomy Behavior Technician (code 106S00000X), licensed in MA under license number 22-242403.
Where does Tyren T Fernandez practice?
The practice location is 145 Lewis St # 306, Lynn, MA 01902-4861. The office can be reached at 978-473-3601 (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 1518702596 directly on the NPPES registry website.