Organization
BEHAVIOR INDEPENDENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARI N BLACKBURN (CO-OWNER/ COO)
(907) 931-5548
Entity
Organization
Contact information
Practice address
43636 KALIFORNSKY BEACH RD, SOLDOTNA, AK 99669-8264
(907) 931-5548
(248) 292-8472
Mailing address
PO BOX 771324, EAGLE RIVER, AK 99577-1324
(907) 931-5548
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/26/2021
Last updated
08/09/2023
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