Individual
ABIGAIL GRACE FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6201 BENTON RD, PADUCAH, KY 42003-1304
(270) 908-0461
Mailing address
6201 BENTON RD, PADUCAH, KY 42003-1304
(270) 908-0461
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-390012
KY
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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