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Andrea Michelle Avery

Behavior Technician in Fairbanks, AK. Individual provider (NPI-1).

NPI number1477458404
StatusActive
Last updated in NPPESOct 9, 2026

Details

NPI
1477458404
Entity type
Individual (NPI-1)
Name
Andrea Michelle Avery
Sex
Female
Sole proprietor
No
Enumeration date
Oct 9, 2026
Certification date
Oct 9, 2026
Last updated
Oct 9, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

926 Aspen St
Fairbanks, AK 99709-5501

Phone 907-563-1000

Mailing address

4020 Folker St
Anchorage, AK 99508-5321

Phone 907-563-1000

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