NPI 1023679032 · live from the CMS NPI Registry
Jennifer White
Behavior Analyst in Fairbanks, AK. National Provider Identifier 1023679032, active.
NPI record
| NPI | 1023679032 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 3526 Industrial Ave, Fairbanks, AK 99701 |
| Practice phone | 907-406-1651 |
| Mailing address | 3246 Storey Dr, North Pole, AK 99705 |
| Enumerated | June 21, 2019 |
| Last updated | June 21, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | RBT-19-90216 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.