Modesta Allena Fogg
NPI #1225820251 in Wake Forest, North Carolina
Provider Information
- NPI Number
- 1225820251
- Entity Type
- Individual
- Name
- Modesta Allena Fogg
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- May 17, 2025
- Last Updated
- May 17, 2025
Practice Location
- Address
- 412 FERRY CT
- City
- Wake Forest
- State
- North Carolina
- ZIP Code
- 27587-4020
- Phone
- (919) 306-7477
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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