Fontaine, Ottira Diamond
Fontaine, Ottira Diamond is an individual health care provider with primary practice located at 9711 Washingtonian Blvd , Gaithersburg MD 20878-7365. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Fontaine, Ottira Diamond can be contacted via phone (410) 609-6357.Contact Information
Primary practice address
9711 Washingtonian Blvd
Gaithersburg MD 20878-7365
Phone: (410) 609-6357
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1265083174 |
|---|---|
| LBN Legal business name | Fontaine, Ottira Diamond |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2019 |
| Last updated | Jul 7th, 2021 - 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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