SHANE DASALLE FUQUA

COLUMBUS, OH
NPI1760218994
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
Enumeration Date2024-09-13
Last Update Date2024-09-13
Business Address
SHANE DASALLE FUQUA
581 CARPENTER ST
COLUMBUS, OH 43205-2627
Phone number: 614-668-9267
Mailing Address
SHANE DASALLE FUQUA
581 CARPENTER ST
COLUMBUS, OH 43205-2627
Phone number:
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