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Individual

KERRY ROSE MAHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7610 E PALMER WASILLA HWY # 100, PALMER, AK 99645-8467
(907) 406-1651
Mailing address
10355 E PALMER WASILLA HWY STE 213, PALMER, AK 99645-8876

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
165147
AK
106S00000X
Behavior Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1174912257
A PERFECT FIT
AK
Enumeration date
01/03/2018
Last updated
04/01/2026
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