FBX Fairbanks Behavior
Organization Active NPI Behavior Analyst · Fairbanks, AK
NPI 1003287913 · NPPES record last updated Oct 19, 2015
Key facts
- NPI
- 1003287913
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Behavior Analyst 103K00000X
- Legal business name
- FBX FAIRBANKS BEHAVIOR
- Practice address
- 3245 Craft Ave
Fairbanks, AK 99709-5772 - Phone
- (907) 378-3434
- Fax
- (907) 374-0820
- NPI assigned
- Oct 19, 2015
- Organization subpart
- No
Authorized official
- Name
- Susan Tanori, MA, BCBA
- Title
- Owner
- Phone
- (907) 378-3434
Practitioners 1
-
Susanne Kahler, BCBA
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | Yes |
Addresses
Primary practice location
3245 Craft Ave
Fairbanks, AK 99709-5772
Mailing address
PO Box 80448
Fairbanks, AK 99708-0448
Phone (907) 378-3434
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.