Carley R Fontenot

NPI #1114709540 in Gonzales, Louisiana

Provider Information

NPI Number: 1114709540
Entity Type: Individual
Name: Carley R Fontenot
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 19, 2023
Last Updated: Oct 20, 2023

Practice Location

Address: 12470 HEBERT RD
City: Gonzales
State: Louisiana
ZIP Code: 70737-7656
Phone: (225) 290-8023

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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