Individual
KATELYN BALOGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2836 KIMBERLIE CT, ANCHORAGE, AK 99508-5329
(907) 349-4222
Mailing address
6922 HALEY LN UNIT A, JBER, AK 99506-3416
(530) 524-5352
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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