Individual
JAN MATTHEW FABIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
2420 US 70 HWY E, NEW BERN, NC 28560-6798
(252) 787-5981
Mailing address
647 BRAWLEY SCHOOL RD STE 104, MOORESVILLE, NC 28117-6876
(858) 870-4703
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2715
NC
103K00000X
Behavior Analyst
2715
OH
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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