Samantha Fountaine

NPI #1164220109 in Tumwater, Washington

Provider Information

NPI Number: 1164220109
Entity Type: Individual
Name: Samantha Fountaine
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 5, 2025
Last Updated: Sep 23, 2025

Practice Location

Address: 2584 R W JOHNSON BLVD SW STE 100
City: Tumwater
State: Washington
ZIP Code: 98512-6103
Phone: (360) 878-6434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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