Individual
AUTUMN ALEXANDRIA FORTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 LOSSON PUCKETT RD, GREENFIELD, TN 38230-3920
(731) 514-2358
Mailing address
211 LOSSON PUCKETT RD, GREENFIELD, TN 38230-3920
(731) 514-2358
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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