Individual
AIMEE MICHELLE VANFOSSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3662 CEDARCREST RD STE 220, ACWORTH, GA 30101-8765
(866) 610-0580
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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