Michelle Fernandez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

Y19416331 Issued in CA

Practice address

7652 9TH St Apt a
Buena Park, CA 90621-2848

Phone

(714) 770-6512

NPI assigned

Dec 1, 2023

Last updated

Dec 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1770359689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7652 9TH ST APT A",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212848",
            "telephone_number": "714-770-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7652 9TH ST APT A",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212848",
            "telephone_number": "714-770-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "Y19416331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mirasol Fajardo, N.P.
• Family T LLC (Family Ties Senior Living)
• Nicole Feliciano
• Jerren Nikko Ferguson, DDS
• Gabriel Fernandez, N.P.
• Firstsigth Vision Services, Inc.
• Lorena Fisher, M.A./ CPT 1
• Celina Esthella Flores, SLPA
• Reynaldo Flores Jr., MS, ATC.
• FM Rehab Express Inc (FM Rehab)

• Behavior Technician in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.