Individual
JALA MERSHA FAULKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2570 TECHNICAL DR, MIAMISBURG, OH 45342-6107
(937) 847-8750
(937) 847-6107
Mailing address
2570 TECHNICAL DR, MIAMISBURG, OH 45342-6107
(937) 847-8750
(937) 847-8753
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-192347
OH
Other
Enumeration date
10/06/2021
Last updated
02/09/2023
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