FABIAN BANUELOS

KENAI, AK
NPI1427323328
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: PR  16436)
Additional Taxonomies103K00000X Behavior Analyst
Enumeration Date2012-03-12
Last Update Date2024-11-05
Business Address
FABIAN BANUELOS
508 UPLAND ST
KENAI, AK 99611-8026
Phone number: 907-335-7500
Mailing Address
FABIAN BANUELOS
15138 CAROLS WAY DR
HOUSTON, TX 77070-1117
Phone number: 915-502-3362