Individual
TARYN CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7430 W RODNEY CIR, WASILLA, AK 99623-1935
(907) 891-1760
Mailing address
7430 W RODNEY CIR, WASILLA, AK 99623-1935
(907) 891-1760
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/14/2016
Last updated
05/05/2021
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