Individual
FABIONE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 SW 7TH ST STE 500, RENTON, WA 98057-2983
(425) 687-7370
(425) 712-0641
Mailing address
20818 44TH AVE W STE 270, LYNNWOOD, WA 98036-7709
(425) 673-6911
(425) 712-0641
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61127642
WA
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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