Individual
OCTAVIA LAINE FABRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 E AUGUSTA ST, MC CORMICK, SC 29835-8703
(864) 550-3900
Mailing address
227 SANDUSKY LN, SIMPSONVILLE, SC 29680-7719
(631) 295-7117
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
SC
Other
Enumeration date
05/12/2026
Last updated
05/13/2026
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