| NPI | 1699249052 |
|---|---|
| Former Name | MARLENE FABIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-01-17 |