MS. Avery Jane Fasulo

NPI #1124989298 in Saint Petersburg, Florida

Provider Information

NPI Number: 1124989298
Entity Type: Individual
Name: MS. Avery Jane Fasulo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 19, 2025
Last Updated: Nov 19, 2025

Practice Location

Address: 6465 1ST AVE S
City: Saint Petersburg
State: Florida
ZIP Code: 33707-1301
Phone: (813) 324-5730

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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