AUTUMN FAUST

DOUGLASVILLE, GA
NPI1053065151
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: GA  RBT-22-202291)
Enumeration Date2022-02-08
Last Update Date2022-02-08
Business Address
AUTUMN FAUST RBT
9559 HIGHWAY 5 STE 601
DOUGLASVILLE, GA 30135-1572
Phone number: 470-632-5276
Mailing Address
AUTUMN FAUST RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885