Individual
KARLEY FAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12201 GAYTON RD STE 103, HENRICO, VA 23238-8203
(804) 610-2332
Mailing address
7207 VERNON RD, HENRICO, VA 23228-3711
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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