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Individual

CHRISTIAN MARY ELIZABETH FAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6502 ELBROOK AVE APT 3, CINCINNATI, OH 45237-4349
(513) 401-8953
Mailing address
6502 ELBROOK AVE APT 3, CINCINNATI, OH 45237-4349
(513) 401-8953

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-67539
106S00000X
Behavior Technician
RBT-19-91669
OH

Other

Enumeration date
06/24/2020
Last updated
09/03/2024
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