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Individual

MS. MARIE SHELA L SALONGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
17301 BEAUJOLAIS CIR, EAGLE RIVER, AK 99577-7513
(907) 232-5282
(844) 305-0320
Mailing address
17301 BEAUJOLAIS CIR, EAGLE RIVER, AK 99577-7513
(907) 232-5282
(844) 305-0320

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-62147
AK
106E00000X
Assistant Behavior Analyst
Primary
157317
AK
106E00000X
Assistant Behavior Analyst
AK
106S00000X
Behavior Technician
BACB322523
AK
106S00000X
Behavior Technician
AK

Other

Enumeration date
03/23/2017
Last updated
07/16/2026
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