Angeline Fernandez, is a
Behavior Technician based in Clovis, California. Angeline Fernandez is licensed to practice in * (Not Available) (license number ) and her current practice location is
20 N Dewitt Ave, Clovis, California. She can be reached at her office (for appointments etc.) via phone at
(559) 575-8172.
NPI number for Angeline Fernandez is 1750854550 and her current mailing address is 20 N Dewitt Ave, Clovis, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750854550.
Healthcare Provider's Profile
| Full Name | Angeline Fernandez |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 20 N Dewitt Ave, Clovis, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1750854550
- Provider Enumeration Date: 01/04/2019
- Last Update Date: 01/04/2019
Medical Identifiers
Medical identifiers for Angeline Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750854550 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angeline Fernandez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Angeline Fernandez,
20 N Dewitt Ave,
Clovis, CA 93612-0311
Ph: (559) 575-8172 | Angeline Fernandez,
20 N Dewitt Ave,
Clovis, CA 93612-0311
Ph: (559) 575-8172 |
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