Krystal Marie Fountaine
Krystal Marie Fountaine is a Behavior Analyst in Tarzana, California. Works from 2 locations. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2009
Practice location Address checks out
5554 Reseda Blvd Ste 203Tarzana, CA 91356-6212
Phone: (818) 698-9507
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 6004 Walden Dr, Knoxville, TN 37919-6370 — (818) 698-9507
Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X · Licence 1-16-23131 (CA) |
|---|
Record details
| NPI number | 1811131014 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 1, 2009 |
| Last updated in NPPES | January 19, 2022 |
| Certification date | January 19, 2022 |
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