Fountain, Maranda
Fountain, Maranda is an sole proprietor health care provider with primary practice located at 10926 S Tryon St Ste E , Charlotte NC 28273-4154. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Fountain, Maranda can be contacted via phone (813) 957-5453.Contact Information
Primary practice address
10926 S Tryon St Ste E
Charlotte NC 28273-4154
Phone: (813) 957-5453
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1095693 | Florida |
Profile Details
| NPI number | 1316172224 |
|---|---|
| LBN Legal business name | Fountain, Maranda |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 20th, 2009 |
| Last updated | Dec 9th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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