Individual
JENNIFER LEE FOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34 MADISON ST, TAUNTON, MA 02780-1824
(774) 294-1169
Mailing address
34 MADISON ST, TAUNTON, MA 02780-1824
(774) 294-1169
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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