Individual
AUSTIN SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BHT
Contact information
Practice address
4130 SAN ERNESTO AVE, ANCHORAGE, AK 99508-2875
(907) 729-8901
(907) 729-8607
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-8901
(907) 729-8607
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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