Individual
ANA MARIE FABIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
289 SW BECKER RD, PORT SAINT LUCIE, FL 34953-6020
(561) 309-9767
Mailing address
289 SW BECKER RD, PORT SAINT LUCIE, FL 34953-6020
(561) 309-9767
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-126296
FL
Other
Enumeration date
07/11/2017
Last updated
07/05/2023
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