Individual
ALAN FAGANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 E 8TH AVE, JOHNSON CITY, TN 37601-4647
(423) 747-5724
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-341444
TN
Other
Enumeration date
04/27/2024
Last updated
04/27/2024
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