Individual
ANGIE FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3531 SW 50TH TER, DAVIE, FL 33314-2029
(954) 549-4906
Mailing address
3531 SW 50TH TER, DAVIE, FL 33314-2029
(954) 549-4906
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
FL
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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