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1184300469
MIA G FERNANDEZ
PHOENIX, AZ
NPI
1184300469
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: RBT-23-275127)
Enumeration Date
2023-06-22
Last Update Date
2023-06-22
Business Address
MIA G FERNANDEZ RBT
1840 N 95TH AVE STE 140
PHOENIX, AZ 85037-4446
Phone number: 623-264-8188
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Mailing Address
MIA G FERNANDEZ RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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