Individual
JESSAH ALANE WALTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT I
Contact information
Practice address
4441 DIPLOMACY DR, ANCHORAGE, AK 99508-5910
(907) 729-4955
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-8901
(907) 729-6353
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1067821
AK
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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