Individual
YEVGENIY GLAVNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1650 BRAGAW ST, ANCHORAGE, AK 99508-3435
(907) 433-7363
(907) 274-6413
Mailing address
1650 BRAGAW ST, ANCHORAGE, AK 99508-3435
(907) 433-7320
(907) 274-6413
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G415-978-90-441-0
DRIVERS LICENSE NUMBER
—
Enumeration date
05/16/2022
Last updated
05/16/2022
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