Individual
AGATHA QUINTAL FABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 S AMPHLETT BLVD STE 110, SAN MATEO, CA 94402-2710
(650) 483-5852
Mailing address
1720 S AMPHLETT BLVD STE 110, SAN MATEO, CA 94402-2710
(650) 483-5852
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/01/2021
Last updated
03/04/2021
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