Individual
ANTHONY RICHARD FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2525 LADD ST, LACKLAND AFB, TX 78236-5308
(210) 447-7041
Mailing address
234 W BANDERA RD # 325, BOERNE, TX 78006-2805
(225) 505-8024
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
15-02331
TX
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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