GIONNI CARLITTO FONSECA

SOUTH BEND, IN
NPI1568201739
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-05-20
Last Update Date2024-05-20
Business Address
GIONNI CARLITTO FONSECA
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615-2635
Phone number: 574-289-4831
Mailing Address
GIONNI CARLITTO FONSECA
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615-2635
Phone number: 574-289-4831