Provider Demographics
NPI:1972881142
Name:AUBLE, FALLON ASHLEY
Entity Type:Individual
Prefix:MISS
First Name:FALLON
Middle Name:ASHLEY
Last Name:AUBLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10880 DEODAR WAY
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89506-9064
Mailing Address - Country:US
Mailing Address - Phone:775-843-1138
Mailing Address - Fax:775-384-2216
Practice Address - Street 1:10880 DEODAR WAY
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89506-9064
Practice Address - Country:US
Practice Address - Phone:775-843-1138
Practice Address - Fax:775-384-2216
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-21
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst