Individual
CIERRA FOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6911 LAUREL BOWIE RD STE 309, BOWIE, MD 20715-1712
(301) 755-4021
(800) 858-5250
Mailing address
6911 LAUREL BOWIE RD STE 309, BOWIE, MD 20715-1712
(301) 755-4021
(800) 858-5250
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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