Individual
NICOLAS MARIO MCCASLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7610 E PALMER WASILLA HWY, PALMER, AK 99645-8467
(907) 206-4421
Mailing address
PO BOX 520731, BIG LAKE, AK 99652-0731
(907) 203-1999
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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