Individual
RENEE FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19540 AMARANTH DR, GERMANTOWN, MD 20874-1202
(844) 854-1116
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 854-1116
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
10/14/2022
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