Jessica Fandino

NPI #1588303697 in Pawtucket, Rhode Island

Provider Information

NPI Number: 1588303697
Entity Type: Individual
Name: Jessica Fandino
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 27, 2022
Last Updated: Jul 1, 2022

Practice Location

Address: 472 LONSDALE AVE
City: Pawtucket
State: Rhode Island
ZIP Code: 02860-1844
Phone: (401) 524-1995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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