Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Idalisse Marie Fernandez

Individual provider Behavior Technician · NPI 1104554989

Idalisse Marie Fernandez is a Behavior Technician in Wellesley Hills, Massachusetts. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

35 Walnut St
Wellesley Hills, MA 02481-2101
Phone: (617) 631-0219
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1104554989
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 10, 2022
Last updated in NPPESAugust 10, 2022
Certification dateAugust 10, 2022

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