ZACHARY JAMES FORTENBERRY

PRUDENVILLE, MI
NPI1205474384
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2019-12-19
Last Update Date2019-12-19
Business Address
ZACHARY JAMES FORTENBERRY
1070 W HOUGHTON LAKE DR
PRUDENVILLE, MI 48651-9613
Phone number: 989-422-0279
Mailing Address
ZACHARY JAMES FORTENBERRY
400 S MELITA RD
STERLING, MI 48659-9530
Phone number:
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