MEDICARE: FERNANDA CARDENAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-24-73951	CA

General Provider Information

NPI Number	:	1760950240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FERNANDA CARDENAS

Provider Business Mailing Address
First Line	:	4085 N PEACH AVE APT 174
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93727-8420
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2505 W SHAW AVE STE 2
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-3334
Country	:	US
Telephone Number	:	559-241-7233
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2018
Last Update Date	:	05/27/2026

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Directions to “ FERNANDA CARDENAS ” Practice Location

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