NPI 1003287913 · live from the CMS NPI Registry
Fbx Fairbanks Behavior
Behavior Analyst in Fairbanks, AK. National Provider Identifier 1003287913, active.
NPI record
| NPI | 1003287913 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 3245 Craft Ave, Fairbanks, AK 99709 |
| Practice phone | 907-378-3434 |
| Mailing address | Po Box 80448, Fairbanks, AK 99708 |
| Enumerated | October 19, 2015 |
| Last updated | October 19, 2015 |
| Authorized official | Susan Tanori, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.