Individual provider · NPI-1

Joel Barco, RBT

Behavior Technician · Eagle River, AK

NPI number1760049266
StatusActive
Last updated in NPPESMay 21, 2019

Details

NPI
1760049266
Entity type
Individual (NPI-1)
Name
Joel Barco
Credential
RBT
Sex
Male
Sole proprietor
No
Enumeration date
May 21, 2019
Last updated
May 21, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-19-86107AKYes

Practice location

16331 Heritage Pl Ste 101
Eagle River, AK 99577-7753

Phone 907-350-8893

Mailing address

9529 Noak Cir
Eagle River, AK 99577-8515

Phone 907-350-8893

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