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NPI Code Detail

MEDICARE: MR. BENNY ALEXANDER FERNANDEZ BCBA

MEDICARE: MR. BENNY ALEXANDER FERNANDEZ BCBA
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1598499014
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BENNY ALEXANDER FERNANDEZ BCBA
Provider Business Mailing Address
First Line : 12077 PIONEERS WAY APT 3307
Second Line :
City : ORLANDO
State : FL
Zip : 32832-2821
Country : US
Telephone Number : 786-349-8478
Fax Number :
Provider Business Practice Location Address
First Line : 907 OUTER RD STE B
Second Line :
City : ORLANDO
State : FL
Zip : 32814-6601
Country : US
Telephone Number : 407-217-1401
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2022
Last Update Date : 01/06/2026

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