Individual
DOUGLAS FABIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2311 ENERGY DR BLDG 9, APEX, NC 27502-4343
(984) 254-5635
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33670
IN
103K00000X
Behavior Analyst
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Other
Enumeration date
11/21/2019
Last updated
08/08/2023
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