Individual
PEDRO KENNETH GARCIA QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
300 W SWANSON AVE, WASILLA, AK 99654-6844
(787) 370-3875
Mailing address
300 W SWANSON AVE, WASILLA, AK 99654-6844
(787) 370-3875
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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