Individual
RACHEL JOANNA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
326 DRIVEWAY ST, FAIRBANKS, AK 99701-2807
(907) 521-0890
Mailing address
PO BOX 263, ESTER, AK 99725-0263
(907) 888-5990
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB642466
AK
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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