| Alba Behavioral Health | |
|
17301 Beaujolais Cir Eagle River AK 99577-7513 | |
| (907) 232-5282 | |
| Not Available |
| Full Name | Alba Behavioral Health |
|---|---|
| Speciality | Behavior Analyst |
| Location | 17301 Beaujolais Cir, Eagle River, Alaska |
| Authorized Official Name and Position | Marie Shela L Salonga (CEO) |
| Authorized Official Contact | 9072325282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alba Behavioral Health 17301 Beaujolais Cir Eagle River AK 99577-7513 Ph: (907) 232-5282 | Alba Behavioral Health 17301 Beaujolais Cir Eagle River AK 99577-7513 Ph: (907) 232-5282 |
| NPI Number | 1124603188 |
|---|---|
| Provider Enumeration Date | 03/11/2021 |
| Last Update Date | 03/11/2021 |
| Certification Date | 03/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124603188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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