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1316172224
MARANDA FOUNTAIN
CHARLOTTE, NC
NPI
1316172224
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: FL 1095693)
Enumeration Date
2009-05-20
Last Update Date
2019-12-09
Business Address
MARANDA FOUNTAIN BCBA
10926 S TRYON ST STE E
CHARLOTTE, NC 28273-4154
Phone number: 813-957-5453
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Mailing Address
MARANDA FOUNTAIN BCBA
10926 S TRYON ST STE E
CHARLOTTE, NC 28273-4154
Phone number: 855-201-5498
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