Individual
MAGGIE ANNIE JACKSON-FAIRBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2825 W 42ND AVE, ANCHORAGE, AK 99517-2830
(907) 243-5130
Mailing address
2825 W 42ND AVE, ANCHORAGE, AK 99517-2830
(907) 243-5130
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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