Individual provider · NPI-1

Elisa Renee Betson, RBT

Behavior Technician · Eagle River, AK

NPI number1306337241
StatusActive
Last updated in NPPESJun 14, 2018

Details

NPI
1306337241
Entity type
Individual (NPI-1)
Name
Miss Elisa Renee Betson
Credential
RBT
Sex
Female
Sole proprietor
No
Enumeration date
May 26, 2018
Last updated
Jun 14, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

11901 Business Blvd Ste 209
Eagle River, AK 99577

Phone 907-694-6002

Mailing address

Po Box 773122
Eagle River, AK 99577-3122

Phone 907-863-0377

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