Individual
PHILIP FAXIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
828 EVARTS ST NE, WASHINGTON, DC 20018-1722
(202) 316-8256
Mailing address
3312 POPE ST SE, WASHINGTON, DC 20020-2320
(202) 841-4243
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
09/13/2023
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