Individual
FAYANNA BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
644 TALLULAH TRL, WARNER ROBINS, GA 31088-7625
(478) 225-2179
(678) 369-9540
Mailing address
644 TALLULAH TRL, WARNER ROBINS, GA 31088-7625
(478) 225-2179
(678) 369-9540
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-443674
GA
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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