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Angie Fontaine

Assistant Behavior Analyst in Davie, FL. Individual provider (NPI-1).

NPI number1508302282
StatusActive
Last updated in NPPESJan 18, 2017

Details

NPI
1508302282
Entity type
Individual (NPI-1)
Name
Angie Fontaine
Sex
Female
Sole proprietor
No
Enumeration date
Jan 18, 2017
Last updated
Jan 18, 2017

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106E00000X Assistant Behavior Analyst–FLYes

Practice location

3531 Sw 50th Ter
Davie, FL 33314-2029

Phone 954-549-4906

Mailing address

3531 Sw 50th Ter
Davie, FL 33314-2029

Phone 954-549-4906

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Assistant Behavior Analyst providers in Davie, FL

All 26 Assistant Behavior Analyst providers in Davie · All 5,099 providers in Davie

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