Individual
COURTNEY FANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2800 BREEZEWOOD AVE, FAYETTEVILLE, NC 28303-5408
(910) 687-4099
Mailing address
1824 HARRINGTON RD, FAYETTEVILLE, NC 28306-3951
(910) 916-2663
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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