Individual
FAATAFA MANOGIAMANU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10801 BLACKBEAR ROAD, SUITE 300, JUNEAU, ALASKA, AK 99801
(907) 523-6773
Mailing address
3100 CHANNEL DR STE 300, JUNEAU, AK 99801-7837
(907) 523-6773
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/05/2026
Last updated
02/05/2026
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