| Fbx Fairbanks Behavior | |
|
3245 Craft Ave Fairbanks AK 99709-5772 | |
| (907) 378-3434 | |
| (907) 374-0820 |
| Full Name | Fbx Fairbanks Behavior |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3245 Craft Ave, Fairbanks, Alaska |
| Authorized Official Name and Position | Susan Tanori (OWNER) |
| Authorized Official Contact | 9073783434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fbx Fairbanks Behavior Po Box 80448 Fairbanks AK 99708-0448 Ph: (907) 378-3434 | Fbx Fairbanks Behavior 3245 Craft Ave Fairbanks AK 99709-5772 Ph: (907) 378-3434 |
| NPI Number | 1003287913 |
|---|---|
| Provider Enumeration Date | 10/19/2015 |
| Last Update Date | 10/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003287913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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