Individual
FAIRRAH PAULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
163WG0000X
General Practice Registered Nurse
Primary
4704389499
MI
Other
Enumeration date
06/07/2019
Last updated
05/01/2026
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