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ANALYSSA BREANNE PORQUEZ FONTAINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
185 BUTCHER RD STE B, VACAVILLE, CA 95687-5656
(707) 724-6810
Mailing address
602 KLAMATH WAY, SUISUN CITY, CA 94585-3047

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CA
106S00000X
Behavior Technician

Other

Enumeration date
03/14/2023
Last updated
11/18/2025
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