Individual
TERESA FAIRCHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2785 CASON ST # 2, LAFAYETTE, IN 47904-2843
(465) 446-4185
(765) 448-1864
Mailing address
2785 CASON ST # 2, LAFAYETTE, IN 47904-2843
(765) 446-4185
(765) 448-1864
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/18/2020
Last updated
05/28/2021
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