Mireya Fambro

NPI #1154968899 in Spring Lake, North Carolina

Provider Information

NPI Number: 1154968899
Entity Type: Individual
Name: Mireya Fambro
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 2, 2019
Last Updated: Dec 2, 2019

Practice Location

Address: 1018 N BRAGG BLVD
City: Spring Lake
State: North Carolina
ZIP Code: 28390-3316
Phone: (910) 295-2609

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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