Naomi Janeva Fountain
Behavior Technician in Tacoma, WA. Individual provider (NPI-1).
NPI number1962080341
StatusActive
Last updated in NPPESMar 29, 2021
Details
- NPI
- 1962080341
- Entity type
- Individual (NPI-1)
- Name
- Naomi Janeva Fountain
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2021
- Certification date
- Mar 29, 2021
- Last updated
- Mar 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | WA | Yes |
Practice location
1901 S Union Ave Ste 6007Tacoma, WA 98405-1702
Phone 818-241-6780
Mailing address
1055 E Colorado Blvd Ste 560Pasadena, CA 91106-2380
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