Tavia I Fontenot
Tavia I Fontenot is a Behavior Technician in Canyon Lake, California. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
30039 Swan Point DrCanyon Lake, CA 92587-7407
Phone: (951) 796-3840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1700616463 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 6, 2024 |
| Last updated in NPPES | August 6, 2024 |
| Certification date | August 6, 2024 |
| Mailing address | 30039 Swan Point Dr, Canyon Lake, CA 92587-7407 |
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