Most Relevant Information
Provider Data
| NPI Number: | 1003374786 |
| Provider Name: | FAITH DENNIS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/12/2019 |
| Last Updated: | 03/12/2019 |
Provider Practice Location
3650 MT DIABLO BLVD STE 107
LAFAYETTE
CA
945493780
Practice Location Phone/Fax
| Phone: | 5106659700 |
| Fax: |
Provider Mailing Location
2400 DANA ST APT 3
BERKELEY
CA
947042262
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |