Individual
ROBBIE ONTENETTE WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
362 TYEE ST, SOLDOTNA, AK 99669-7631
(907) 714-4521
Mailing address
PO BOX 2763, SEWARD, AK 99664-2763
(907) 831-1509
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/06/2019
Last updated
03/31/2021
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