Individual
CINDY JO SELBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3543 E MERIDIAN PARK LOOP, WASILLA, AK 99654-7233
(907) 864-0099
Mailing address
10494 W GLACIER PEAK DR, WASILLA, AK 99623-0796
(307) 272-1130
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-366475
AK
175T00000X
Peer Specialist
—
—
Other
Enumeration date
03/24/2021
Last updated
08/19/2024
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