Katelynn O'phallon Fassnacht

NPI #1487290375 in Adairsville, Georgia

Provider Information

NPI Number: 1487290375
Entity Type: Individual
Name: Katelynn O'phallon Fassnacht
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 26, 2019
Last Updated: Nov 26, 2019

Practice Location

Address: 109 MOSTELLERS MILL RD NW
City: Adairsville
State: Georgia
ZIP Code: 30103-4756
Phone: (423) 414-1984

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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