Individual
ZACKARY MISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 SAN ERNESTO AVE, ANCHORAGE, AK 99508-2874
(907) 690-5363
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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