Individual
KIMBERLY FARLEE FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
722 HUTCHINSON ST, LOUISVILLE, CO 80027-2022
(720) 837-2348
(303) 554-5657
Mailing address
PO BOX 27169, LOUISVILLE, CO 80027-0000
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-52109
CO
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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