Individual
ANGEL FAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2800 SCENIC DR STE 12, BLUE RIDGE, GA 30513-1402
(706) 946-0466
Mailing address
2800 SCENIC DR STE 12, BLUE RIDGE, GA 30513-1402
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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