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Jacqueline Tarner

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

NPI number1801422142
StatusActive
Last updated in NPPESMar 18, 2020

Details

NPI
1801422142
Entity type
Individual (NPI-1)
Name
Jacqueline Tarner
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 18, 2020
Certification date
Mar 18, 2020
Last updated
Mar 18, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

13030 Brandon St
Anchorage, AK 99515-3536

Phone 907-349-4222

Mailing address

13030 Brandon St
Anchorage, AK 99515-3536

Phone 907-349-4222

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