Individual
BRANDON BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2836 KIMBERLIE CT, ANCHORAGE, AK 99508-5329
(907) 349-4222
Mailing address
2836 KIMBERLIE CT, ANCHORAGE, AK 99508-5329
(907) 349-4222
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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