Provider Demographics
NPI:1649754730
Name:FOUTS, JANET LYNN
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:LYNN
Last Name:FOUTS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1985 COASTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95125-2514
Mailing Address - Country:US
Mailing Address - Phone:415-990-3991
Mailing Address - Fax:
Practice Address - Street 1:1985 COASTLAND AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95125-2514
Practice Address - Country:US
Practice Address - Phone:415-990-3991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-24
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst