Individual
KEITA SENAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3210 DELTA DR, ANCHORAGE, AK 99502-4450
(907) 952-7435
Mailing address
PO BOX 190844, ANCHORAGE, AK 99519-0844
(907) 952-7435
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AK
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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