Individual
BENJAMIN FIELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6045 E 43RD AVE, ANCHORAGE, AK 99504-4322
(907) 947-4336
Mailing address
4000 SAN ERNESTO AVE, ANCHORAGE, AK 99508-2874
(907) 947-4336
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/11/2019
Last updated
05/11/2019
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