Individual
MS. MARIE SHELA L SALONGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16319 REBISCHKE LN UNIT A, EAGLE RIVER, AK 99577-8024
(907) 854-6216
Mailing address
16319 REBISCHKE LN UNIT A, EAGLE RIVER, AK 99577-8024
(907) 854-6216
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
157317
AK
106S00000X
Behavior Technician
BACB322523
AK
Other
Enumeration date
03/23/2017
Last updated
03/09/2020
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