Keyme J Fortson II

NPI #1316751068 in Shelton, Connecticut

Provider Information

NPI Number: 1316751068
Entity Type: Individual
Name: Keyme J Fortson II
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 4, 2025
Last Updated: Feb 4, 2025

Practice Location

Address: 1000 BRIDGEPORT AVE
City: Shelton
State: Connecticut
ZIP Code: 06484
Phone: (203) 993-6592

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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