Individual provider · NPI-1

Annette Blanas, LCSW, BCBA

Social Worker, Clinical · Anchorage, AK

NPI number1982015178
StatusActive
Last updated in NPPESMay 10, 2014

Details

NPI
1982015178
Entity type
Individual (NPI-1)
Name
Annette Blanas
Credential
LCSW, BCBA
Sex
Female
Sole proprietor
Yes
Enumeration date
May 10, 2014
Last updated
May 10, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical1256AKYes
103K00000X Behavior Analyst––

Practice location

2117 Dolly Varden Ave
Anchorage, AK 99516-1926

Phone 907-345-8654

Mailing address

2117 Dolly Varden Ave
Anchorage, AK 99516-1926

Phone 907-345-8654

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