Individual
BRANDON JOHN FABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
36001 1ST AVE S, FEDERAL WAY, WA 98003-8606
(253) 945-4600
Mailing address
9515 188TH ST E, PUYALLUP, WA 98375-6123
(253) 797-8842
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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