Individual
DR. ELISABETH TROFFO FOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, BCBA-D
Contact information
Practice address
1001 E LOOKOUT DR, RICHARDSON, TX 75082-4144
(972) 766-4470
Mailing address
225 HADFIELD RD, DOWNINGTOWN, PA 19335-4904
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-12-12684
TX
103T00000X
Psychologist
Primary
37168
TX
Other
Enumeration date
09/26/2014
Last updated
04/30/2019
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