Individual
FELISSA FAIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 SE FEDERAL HWY, SUITE 220, STUART, FL 34994-4591
(772) 486-1789
Mailing address
2400 SE FEDERAL HWY, SUITE 220, STUART, FL 34994-4591
(772) 486-1789
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-17-7757
FL
Other
Enumeration date
07/09/2014
Last updated
04/10/2017
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