Mirja Brain
Day Training/Habilitation Specialist in Wasilla, AK. Individual provider (NPI-1).
NPI number1689330516
StatusActive
Last updated in NPPESNov 15, 2021
Details
- NPI
- 1689330516
- Entity type
- Individual (NPI-1)
- Name
- Mirja Brain
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 15, 2021
- Certification date
- Nov 15, 2021
- Last updated
- Nov 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
| 3747P1801X | Technician, Personal Care Attendant | – | – |
Practice location
1401 S Seward Meridian Pkwy Ste AbcWasilla, AK 99654-8312
Phone 907-631-3520
Mailing address
7521 Brayton DrAnchorage, AK 99507-2667
Phone 907-205-8473
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All 274 Day Training/Habilitation Specialist providers in Wasilla · All 3,076 providers in Wasilla
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