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Individual
TIMOTHY FENNER
Active
Individual
TIMOTHY FENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
RBT-26-2849976
CA
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/05/2026
Last updated
09/16/2026
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