Individual
EMILY DIANE ICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
3568 GERAGHTY AVE, FAIRBANKS, AK 99709-4701
(907) 347-8115
Mailing address
3060 AMBER AVE, FAIRBANKS, AK 99709-4046
(907) 347-8115
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/14/2008
Last updated
08/27/2024
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