Avient-Lauryn Isi Fadal
NPI #1023755543 in Riverbank, California
Provider Information
- NPI Number
- 1023755543
- Entity Type
- Individual
- Name
- Avient-Lauryn Isi Fadal
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- May 16, 2022
- Last Updated
- May 16, 2022
Practice Location
- Address
- 5501 ANTIQUE ROSE WAY
- City
- Riverbank
- State
- California
- ZIP Code
- 95367-9505
- Phone
- (866) 523-4268
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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