NPI 1417458589 · live from the CMS NPI Registry
A Hand Up Behavior Services
Behavior Analyst in Palmer, AK. National Provider Identifier 1417458589, active.
NPI record
| NPI | 1417458589 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1875 N Belmont Ave, Palmer, AK 99645 |
| Practice phone | 858-442-9809 |
| Enumerated | February 23, 2018 |
| Last updated | February 23, 2018 |
| Authorized official | Jennifer Cowan, Clinical Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 115523 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.