Individual
FANNA NDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10187 SW WINDWOOD WAY, PORTLAND, OR 97225-7066
(252) 343-4510
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(252) 343-4510
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/30/2025
Last updated
12/30/2025
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