Johanna M Fennell
Johanna M Fennell is a Behavior Technician in San Diego, California. Licensed in California. Registered with an NPI since 2017.
- Licensed in
- CA
- In the registry since
- 2017
Practice location Address checks out
3978 Sorrento Valley Blvd Ste 100San Diego, CA 92121-1436
Phone: (858) 428-0222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-16-22846 (CA) |
|---|
Record details
| NPI number | 1932615341 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 20, 2017 |
| Last updated in NPPES | December 20, 2017 |
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