Amanda Young, M. Ed, NCC
Behavior Technician in Fairbanks, AK. Individual provider (NPI-1).
NPI number1164029161
StatusActive
Last updated in NPPESOct 3, 2020
Details
- NPI
- 1164029161
- Entity type
- Individual (NPI-1)
- Name
- Amanda Young
- Credential
- M. Ed, NCC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2020
- Certification date
- Oct 3, 2020
- Last updated
- Oct 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3101 Lathrop StFairbanks, AK 99701-7426
Phone 907-459-4700
Mailing address
3101 Lathrop StFairbanks, AK 99701-7426
Phone 907-459-4700
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