Individual
BRIANA DAMALI LEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 S CUSHMAN ST, FAIRBANKS, AK 99701-7516
(907) 405-2905
Mailing address
3100 S CUSHMAN ST, FAIRBANKS, AK 99701-7516
(907) 405-2905
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/02/2024
Last updated
04/08/2026
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