Individual
ASHLEY MICHELLE FOUTX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2212 S CEDAR LN APT 106, FORT OGLETHORPE, GA 30742-3327
(423) 803-7312
Mailing address
2212 S CEDAR LN APT 106, FORT OGLETHORPE, GA 30742-3327
(423) 803-7312
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-301290
TN
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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