Individual
EMILY CHRISTINE FOTHERINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3841 SAGEBRIAR DR, BRYAN, TX 77802-6107
(979) 985-9503
Mailing address
9314 RYDER DR, SAN ANTONIO, TX 78254-2000
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
TX
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/20/2021
Last updated
08/31/2022
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