Individual
CORINNE FAZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1255 SW LOOP 410, SAN ANTONIO, TX 78227-1665
(210) 340-2627
(817) 249-2215
Mailing address
1255 SW LOOP 410, SAN ANTONIO, TX 78227-1665
(210) 340-2627
(817) 249-2215
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-17904
TN
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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