Emily Christine Fotheringham

NPI #1679154785 in Bryan, Texas

Provider Information

NPI Number: 1679154785
Entity Type: Individual
Name: Emily Christine Fotheringham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Apr 20, 2021
Last Updated: Aug 31, 2022

Practice Location

Address: 3841 SAGEBRIAR DR
City: Bryan
State: Texas
ZIP Code: 77802-6107
Phone: (979) 985-9503

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Behavior Analyst	103K00000X	Primary

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