Individual
FAUSTO GABRIEL FABRE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3068 BEL PRE RD APT 301, SILVER SPRING, MD 20906-2487
(240) 660-1311
Mailing address
3068 BEL PRE RD APT 301, SILVER SPRING, MD 20906-2487
(240) 660-1311
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/07/2023
Last updated
07/10/2023
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