Individual
KATIE JAN FAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
112 REEDY DR, PIEDMONT, SC 29673-6752
(855) 832-6727
Mailing address
205 FRONT ST, EASLEY, SC 29640-2316
(720) 879-4441
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-202863
SC
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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