Shaynna Ryanne Fausett

NPI #1194216978 in Lemon Grove, California

Provider Information

NPI Number: 1194216978
Entity Type: Individual
Name: Shaynna Ryanne Fausett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 28, 2018
Last Updated: May 28, 2018

Practice Location

Address: 1608 WATWOOD RD
City: Lemon Grove
State: California
ZIP Code: 91945-4056
Phone: (916) 599-9086

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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