Individual
EVA MARIE FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
5779 GETWELL RD STE 3, SOUTHAVEN, MS 38672-6347
(662) 510-6507
(662) 510-6508
Mailing address
5779 GETWELL RD STE 3, SOUTHAVEN, MS 38672-6347
(662) 510-6507
(662) 510-6508
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MS
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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