Individual
AMY LEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA, LBA
Contact information
Practice address
3524 INDUSTRIAL AVE, FAIRBANKS, AK 99701-7376
(916) 367-9913
Mailing address
2170 CHATEAU CT, NORTH POLE, AK 99705-6583
(916) 367-9913
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-13290
CA
Other
Enumeration date
08/08/2018
Last updated
09/10/2020
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