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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1568830982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FERNANDA CARDENAS

Provider Business Mailing Address
First Line	:	9970 S. CENTRAL PARK BOULEVARD. SUITE 401.
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33428-2322
Country	:	US
Telephone Number	:	305-807-1909
Fax Number	:

Provider Business Practice Location Address
First Line	:	9970 S. CENTRAL PARK BOULEVARD. SUITE 401.
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33428-2322
Country	:	US
Telephone Number	:	305-807-1909
Fax Number	:

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

Provider Enumeration Date	:	09/02/2015
Last Update Date	:	10/08/2023

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Directions to “ FERNANDA CARDENAS ” Practice Location

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