Individual
BRYAN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
302 RAILWAY AVENUE, SEWARD, AK 99664
(907) 224-5257
Mailing address
14639 KENAI SPUR HIGHWAY, KENAI, AK 99611
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AK
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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