Brendan Trevor Teague-glover, is a
Behavior Technician based in Kenai, Alaska. Brendan Trevor Teague-glover is licensed to practice in Alaska (license number ) and his current practice location is
508 Upland St, Kenai, Alaska. He can be reached at his office (for appointments etc.) via phone at
(907) 335-7500.
NPI number for Brendan Trevor Teague-glover is 1891408951 and his current mailing address is 508 Upland St, Kenai, Alaska. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891408951.
Healthcare Provider's Profile
| Full Name | Brendan Trevor Teague-glover |
|---|
| Gender | Male |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 508 Upland St, Kenai, Alaska |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1891408951
- Provider Enumeration Date: 01/03/2023
- Last Update Date: 12/19/2024
Medical Identifiers
Medical identifiers for Brendan Trevor Teague-glover such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891408951 | NPI | - | NPPES |
| 1751783 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (Alaska) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brendan Trevor Teague-glover is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brendan Trevor Teague-glover,
508 Upland St,
Kenai, AK 99611-8026
Ph: (907) 335-7500 | Brendan Trevor Teague-glover,
508 Upland St,
Kenai, AK 99611-8026
Ph: (907) 335-7500 |
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