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

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst
Group: 193400000X SINGLE SPECIALTY GROUP
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

All providers in Fairbanks, AK · Behavior Analyst in Alaska

Sources for this page

Verify at the official NPI Registry.