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NPI Code Detail

MEDICARE: CHRISTINE FESSENDEN

MEDICARE: CHRISTINE FESSENDEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1255088100
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE FESSENDEN
Provider Business Mailing Address
First Line : 225 FAIR AVE NE
Second Line :
City : NEW PHILADELPHIA
State : OH
Zip : 44663-2837
Country : US
Telephone Number : 330-243-8770
Fax Number :
Provider Business Practice Location Address
First Line : 225 FAIR AVE NE
Second Line :
City : NEW PHILADELPHIA
State : OH
Zip : 44663-2837
Country : US
Telephone Number : 330-243-8770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2022
Last Update Date : 05/21/2026

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Directions to “ CHRISTINE FESSENDEN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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