Individual
RACHEL FONTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 ERIE ST STE 6, GOSHEN, NY 10924-1547
(845) 294-1882
Mailing address
60 ERIE ST STE 6, GOSHEN, NY 10924-1547
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1281172
NY
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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