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Individual

JENNIFER WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3526 INDUSTRIAL AVE, FAIRBANKS, AK 99701-7376
(907) 406-1651
Mailing address
3246 STOREY DR, NORTH POLE, AK 99705-7414
(907) 521-0639

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-19-90216

Other

Enumeration date
06/21/2019
Last updated
06/21/2019
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