Individual
NATASHA MANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
4441 DIPLOMACY DR, ANCHORAGE, AK 99508-5910
(907) 729-8880
Mailing address
10526 TRADITION AVE, EAGLE RIVER, AK 99577-8412
(951) 218-3578
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
193239
AK
Other
Enumeration date
08/14/2022
Last updated
08/14/2022
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