Individual
LAUREN NICOLE FETTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1910 S STAPLEY DR, MESA, AZ 85204-6674
(623) 263-3966
Mailing address
1391 W BLUE RIDGE CT, CHANDLER, AZ 85248-5509
(480) 694-7301
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB719002
AZ
106S00000X
Behavior Technician
RBT-21-190846
AZ
Other
Enumeration date
05/21/2022
Last updated
06/10/2025
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