Individual
JOANNA FOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
144 CANAL ST, NASHUA, NH 03064-2886
(603) 882-6333
(603) 459-2783
Mailing address
144 CANAL ST, NASHUA, NH 03064-2886
(603) 882-6333
(603) 459-2783
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-52137
NH
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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