Roy Bennett Fontenot
Behavior Technician in Gulfport, MS. Individual provider (NPI-1).
NPI number1639884331
StatusActive
Last updated in NPPESJan 17, 2023
Details
- NPI
- 1639884331
- Entity type
- Individual (NPI-1)
- Name
- Roy Bennett Fontenot
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 17, 2023
- Certification date
- Jan 17, 2023
- Last updated
- Jan 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
283 Debuys RdGulfport, MS 39507-2800
Phone 228-731-3500
Mailing address
2704 Bullis AveGulfport, MS 39501-5231
Phone 228-223-5250
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All 224 Behavior Technician providers in Gulfport · All 2,821 providers in Gulfport
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