Sandra Fuqua

NPI #1508359019 in Havre De Grace, Maryland

Provider Information

NPI Number: 1508359019
Entity Type: Individual
Name: Sandra Fuqua
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 8, 2018
Last Updated: Oct 30, 2023

Practice Location

Address: 1106 REVOLUTION ST
City: Havre De Grace
State: Maryland
ZIP Code: 21078-3721
Phone: (410) 776-4640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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