Individual
RICHARD ANDREW CLANCY PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 SAN ERNESTO AVE, ANCHORAGE, AK 99508-2874
(907) 739-5020
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-6351
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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