NPI 1023523289 · live from the CMS NPI Registry
Kayla Oeth, BCBA
Behavior Analyst in Fairbanks, AK. National Provider Identifier 1023523289, active.
NPI record
| NPI | 1023523289 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 3524 Industrial Ave, Fairbanks, AK 99701 |
| Practice phone | 907-290-6395 |
| Mailing address | 7210 Dehalden Ln, Salcha, AK 99714 |
| Enumerated | December 11, 2017 |
| Last updated | April 10, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | 157187 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.