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

Vivian Keily Fernandez

Individual provider Behavior Technician · NPI 1043085665

Vivian Keily Fernandez is a Behavior Technician in Miami Gardens, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

4322 NW 203rd St
Miami Gardens, FL 33055-1545
Phone: (786) 560-1188
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 23311758 (FL)

Record details

NPI number1043085665
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 24, 2023
Last updated in NPPESNovember 24, 2023
Certification dateNovember 24, 2023

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