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General NPI Number Information
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NPI Number | 1669135836
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Entity Type | Individual
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Provider Name | KATLYN HANKS FONTENOT M. ED, BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 10/14/2021
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 430 ROBERTS AVE
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City | JENNINGS
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State | LA
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Zip | 70546-4442
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Country | US
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Telephone | 337-429-5248
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Fax | 337-246-3904
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Provider Business Mailing Address
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Address Line | 1010 CECILE ST
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City | JENNINGS
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State | LA
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Zip | 70546-5106
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Country | US
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Telephone | 337-384-8183
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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