Search › Pennsylvania › 101YA0400X
Brian Fazio, QMHA, CADC
NPI 1447035373 · on the registry since 2023 · sole proprietor
Practice
- Address
- 811 Musket Ct
Lackawaxen, PA 18435 - Phone
- (570) 229-5744
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YM0800X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-01-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania