Individual
RITA DIANE FONTENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5350 S WESTERN AVE, SUITE 305, OKLAHOMA CITY, OK 73109-4520
(405) 632-2949
(877) 245-1779
Mailing address
2525 NE 13TH ST, OKLAHOMA CITY, OK 73117-5220
(405) 632-2949
(877) 245-1779
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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