NPI 1215416441 · live from the CMS NPI Registry
Amy Legan, M.A., BCBA, LBA
Behavior Analyst in Fairbanks, AK. National Provider Identifier 1215416441, active.
NPI record
| NPI | 1215416441 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 3524 Industrial Ave, Fairbanks, AK 99701 |
| Practice phone | 916-367-9913 |
| Mailing address | 2170 Chateau Ct, North Pole, AK 99705 |
| Enumerated | August 8, 2018 |
| Last updated | September 10, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-13-13290 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.