Individual
BYRON HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 SAN ERNESTO AVE, ANCHORAGE, AK 99508-2874
(907) 729-5020
Mailing address
16208 HEADLANDS CIR, ANCHORAGE, AK 99516-7561
(323) 600-5231
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AK
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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