Individual
LAURA AUDINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1251 MULDOON RD STE 116, ANCHORAGE, AK 99504-2098
(907) 230-5909
Mailing address
6401 A ST, ANCHORAGE, AK 99518-1824
(907) 230-5909
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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