Mary Fannin

NPI #1023989464 in Belleview, Florida

Provider Information

NPI Number: 1023989464
Entity Type: Individual
Name: Mary Fannin
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Sep 17, 2025
Last Updated: Sep 17, 2025

Practice Location

Address: 4611 SE 100TH PL
City: Belleview
State: Florida
ZIP Code: 34420-3013
Phone: (352) 559-2539

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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