Individual
ALLISON FAULCONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 MAIN STREET, SUITE 300, COLUMBIA, SC 29201
(000) 000-0000
Mailing address
350 FAIRWAY DRIVE, SUITE 101, DEERFIELD BEACH, FL 33441
(877) 418-2978
(866) 500-2186
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
SC
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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