NPI 1912268335 · live from the CMS NPI Registry
Marilyn Andon
Behavior Analyst in Fairbanks, AK. National Provider Identifier 1912268335, active.
NPI record
| NPI | 1912268335 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 122 1st Ave, Fairbanks, AK 99701 |
| Practice phone | 907-452-8251 |
| Mailing address | 1408 19th Ave, Fairbanks, AK 99701 |
| Enumerated | June 1, 2012 |
| Last updated | June 1, 2012 |
| Sole proprietor | No |
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.