Individual
BREANNA NOWACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1004 ENERGY CT, ANCHORAGE, AK 99508-4263
(907) 349-4222
Mailing address
1004 ENERGY CT, ANCHORAGE, AK 99508-4263
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-238322
AK
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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