Individual
KIMBERLY HEADLE ULRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
16635 CENTERFIELD DR STE 103, EAGLE RIVER, AK 99577-7745
(907) 694-6002
Mailing address
16635 CENTERFIELD DR STE 103, EAGLE RIVER, AK 99577-7745
(907) 694-6002
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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