Aurora Behavior Services, Llc | |
9529 Noak Cir Eagle River AK 99577-8515 | |
(907) 350-8893 | |
Not Available |
Full Name | Aurora Behavior Services, Llc |
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Speciality | Behavior Analyst |
Location | 9529 Noak Cir, Eagle River, Alaska |
Authorized Official Name and Position | Kelly Forestal (BCBA) |
Authorized Official Contact | 9073508893 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Aurora Behavior Services, Llc 9529 Noak Cir Eagle River AK 99577-8515 Ph: () - | Aurora Behavior Services, Llc 9529 Noak Cir Eagle River AK 99577-8515 Ph: (907) 350-8893 |
NPI Number | 1528553252 |
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Provider Enumeration Date | 06/26/2018 |
Last Update Date | 06/26/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528553252 | NPI | - | NPPES |
1366845570 | Other | AK | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 102810 (Alaska) | Primary |
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