Individual
KATELYN FORTUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 BELLVIEW AVE, WINCHESTER, VA 22601-3142
(540) 542-0200
Mailing address
307 KASSIE LN APT 4, WINCHESTER, VA 22602-6475
(804) 502-1349
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/23/2014
Last updated
05/23/2014
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