Individual
MATTHEW FAUSSETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1831 W ROSE GARDEN LN STE 4, PHOENIX, AZ 85027-2725
(602) 808-9912
Mailing address
1831 W ROSE GARDEN LN STE 4, PHOENIX, AZ 85027-2725
(602) 808-9912
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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