Individual
LAURA GABRIELA BARBOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
526 GAFFNEY RD STE 100, FAIRBANKS, AK 99701-4914
(907) 687-5428
Mailing address
4012 DIAMOND WILLOW ST UNIT 3, FORT WAINWRIGHT, AK 99703-0015
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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