Individual
CHRISTA JO FETTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
412 LAVANSVILLE RD, SOMERSET, PA 15501-8091
(814) 233-4583
Mailing address
412 LAVANSVILLE RD, SOMERSET, PA 15501-8091
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH00620
PA
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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