Fantasia Durham

NPI #1730888652 in New Philadelphia, Ohio

Provider Information

NPI Number: 1730888652
Entity Type: Individual
Name: Fantasia Durham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 28, 2023
Last Updated: Feb 28, 2023

Practice Location

Address: 225 FAIR AVE NE
City: New Philadelphia
State: Ohio
ZIP Code: 44663-2837
Phone: (330) 309-3133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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