Individual
JULIE A CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 ALLEGHENY WAY, FAIRBANKS, AK 99709-3026
(907) 378-0357
Mailing address
102 ALLEGHENY WAY, FAIRBANKS, AK 99709-3026
(907) 378-0357
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-16-18946
AK
Other
Enumeration date
12/31/2017
Last updated
12/31/2017
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