Russ Fazio
Russ Fazio is a Behavior Technician in Canoga Park, California. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
21201 Victory Blvd Ste 205Canoga Park, CA 91303-4056
Phone: (888) 428-3223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1669211397 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 22, 2024 |
| Last updated in NPPES | May 22, 2024 |
| Certification date | May 22, 2024 |
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Kila Ezeh
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Stephanie Fares
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21201 Victory Blvd Ste 205, Canoga Park, CA 91303-4056 · (888) 428-3223
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21201 Victory Blvd Ste 205, Canoga Park, CA 91303-4056 · (888) 428-3223
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21201 Victory Blvd Ste 205, Canoga Park, CA 91303-4056 · (888) 428-3223