Individual
TANNER DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3105 LAKESHORE DR STE A101, ANCHORAGE, AK 99517-2815
(907) 302-9164
Mailing address
PO BOX 241224, ANCHORAGE, AK 99524-1224
(907) 302-9164
(209) 759-2653
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-219539
AK
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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