Individual
KAYLYN HARMENING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3520 INDUSTRIAL AVE, FAIRBANKS, AK 99701-7376
(907) 687-5428
Mailing address
3420 INDUSTRIAL AVE, FAIRBANKS, AK 99701-7374
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-21-167521
REGISTERED BEHAVIOR TECHNICIAN
—
Enumeration date
05/12/2021
Last updated
05/12/2021
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