Individual
JESSICA FORTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 BELLVIEW AVE, WINCHESTER, VA 22601-3142
(540) 542-0200
Mailing address
2727 WINCHESTER AVE, MARTINSBURG, WV 25405-5792
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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