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Kristy Fontaine

Behavior Technician in North Port, FL. Individual provider (NPI-1).

NPI number1982190922
StatusActive
Last updated in NPPESJul 2, 2018

Details

NPI
1982190922
Entity type
Individual (NPI-1)
Name
Kristy Fontaine
Sex
Female
Sole proprietor
No
Enumeration date
Jul 2, 2018
Last updated
Jul 2, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

2568 Commerce Pkwy
North Port, FL 34289-9329

Phone 800-217-9289

Mailing address

24007 Madaca Ln Unit 207
Port Charlotte, FL 33954-2802

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