Elizha-Grace Fontanilla Fulgencio
Elizha-Grace Fontanilla Fulgencio is a Behavior Technician in Lakewood, Washington. Licensed in Washington. Registered with an NPI since 2022.
- Licensed in
- WA
- In the registry since
- 2022
Practice location Address checks out
4606 108th St SWLakewood, WA 98499-4146
Phone: (253) 693-2626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (WA) |
|---|
Record details
| NPI number | 1528712320 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 10, 2022 |
| Last updated in NPPES | February 10, 2022 |
| Certification date | February 9, 2022 |
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Lillian Marie Fraidenburg
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