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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. TIA MARIE FONSECA

Active

MRS. TIA MARIE FONSECA is a Behavior Technician healthcare provider located in EDGEWOOD, Kentucky. NPI 1780348516 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · EDGEWOOD, KY

Registration Details

NPI Number
1780348516
Provider Type
Individual
Gender
Female
NPI Issued
Oct 27, 2021 (4.7886887073369 yrs)
Last Updated
Oct 27, 2021

Practice Information

Address
925 DUDLEY PIKE
EDGEWOOD, KY, 410178120
Browse KY providers · Browse ZIP 41017
Phone
8593603006
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in EDGEWOOD, KY

Name Credential NPI
CHELSEA WHEAT BS, RBT 1871156752
MELISSA RAQUEL KOSKI RBT 1346804317
LESLIE NICOLE BROWN BS, RBT 1144884867
DAVID LEE BARBER RBT 1194380980
PETER ARTHUR BIRMINGHAM II MA, RBT 1134784960
SAMANTHA MARI ENDERS BS, RBT 1750946554
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.