Lea Fanella
Behavior Technician in Mequon, WI. Individual provider (NPI-1).
NPI number1710690128
StatusActive
Last updated in NPPESDec 30, 2022
Details
- NPI
- 1710690128
- Entity type
- Individual (NPI-1)
- Name
- Lea Fanella
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 30, 2022
- Certification date
- Dec 30, 2022
- Last updated
- Dec 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
10400 N Baehr RdMequon, WI 53092-4472
Phone 833-646-3222 · Fax 833-646-3222
Mailing address
224 W 35th St Ste 500New York, NY 10001-2538
Phone 833-646-3222 · Fax 833-646-3222
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All 126 Behavior Technician providers in Mequon · All 1,400 providers in Mequon
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