Prynceston Fant

NPI #1376181826 in Gonzales, Louisiana

Provider Information

NPI Number: 1376181826
Entity Type: Individual
Name: Prynceston Fant
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 16, 2019
Last Updated: Dec 5, 2021

Practice Location

Address: 1028 E WORTHY ST
City: Gonzales
State: Louisiana
ZIP Code: 70737-4367
Phone: (760) 974-6625

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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