Individual
AKILI M. FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
741 SCHOLL RD, MANSFIELD, OH 44907-1571
(419) 756-1717
Mailing address
741 SCHOLL RD, MANSFIELD, OH 44907-1571
(419) 756-1717
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0345239
—
OH
Enumeration date
04/23/2019
Last updated
07/10/2019
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