Carissa Fenner

NPI #1033099908 in Croswell, Michigan

Provider Information

NPI Number: 1033099908
Entity Type: Individual
Name: Carissa Fenner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 3, 2025
Last Updated: Sep 3, 2025

Practice Location

Address: 6375 GALBRAITH LINE RD APT 1
City: Croswell
State: Michigan
ZIP Code: 48422-8326
Phone: (810) 201-4987

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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