Individual
FABYOLA TAMARAH FAUBLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1412 BLUE HILL AVE APT 3, MATTAPAN, MA 02126-1919
(857) 654-7445
Mailing address
1412 BLUE HILL AVE APT 3, MATTAPAN, MA 02126-1919
(857) 654-7445
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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