Most Relevant Information
Provider Data
| NPI Number: | 1003418849 |
| Provider Name: | JOUBERT FAYETTE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | BRT-20-143507 |
Most Important Dates
| Enumeration Date: | 11/16/2020 |
| Last Updated: | 11/16/2020 |
Provider Practice Location
8803 TAMIAMI TRL E
NAPLES
FL
341133347
Practice Location Phone/Fax
| Phone: | 2393517075 |
| Fax: |
Provider Mailing Location
14870 PLEASANT BAY LN APT 1103
NAPLES
FL
341197711
Provider Mailing Phone/Fax
| Phone: | 2396017859 |
| Fax: |