Individual
KAYLA OETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3524 INDUSTRIAL AVE, FAIRBANKS, AK 99701-7376
(907) 290-6395
Mailing address
7210 DEHALDEN LN, SALCHA, AK 99714-9706
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
157187
AK
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/11/2017
Last updated
04/10/2020
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