Individual
CHANTAL M FANNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6399 FENHAM ST APT 16, OAKLAND, CA 94621-3731
(510) 213-3339
Mailing address
6399 FENHAM ST APT 16, OAKLAND, CA 94621-3731
(510) 213-3339
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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