Individual
TIMOTHY ALLEN POWELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
302 RAILWAY, SEWARD, AK 99664-2614
(907) 422-7839
Mailing address
PO BOX 2614, SEWARD, AK 99664-2614
(907) 422-7839
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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