Individual
AARON SAMUEL FAUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
528 E SPOKANE FALLS BLVD STE 14, SPOKANE, WA 99202-5081
(509) 328-1582
Mailing address
29610 N MONROE RD, DEER PARK, WA 99006-8708
(509) 328-1582
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB60976885
WA
Other
Enumeration date
06/14/2019
Last updated
06/26/2019
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