Individual
MRS. EMILY GRACE RADEWAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, BCABA
Contact information
Practice address
12836 OLD GLENN HWY, EAGLE RIVER, AK 99577-7041
(907) 726-5330
Mailing address
12836 OLD GLENN HWY, EAGLE RIVER, AK 99577-7041
(907) 726-5330
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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