Edward Irish, RBT
Individual provider Active NPI Behavior Technician · Fairbanks, AK
NPI 1013422286 · NPPES record last updated Dec 8, 2017
Key facts
- NPI
- 1013422286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 3568 Geraghty Ave
Fairbanks, AK 99709-4701 - Phone
- (907) 374-7001
- Fax
- (907) 374-7008
- NPI assigned
- Dec 8, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
3568 Geraghty Ave
Fairbanks, AK 99709-4701
Mailing address
3568 Geraghty Ave
Fairbanks, AK 99709-4701
Phone (907) 374-7001
Other providers in Fairbanks, AK
- Interior Mobility Systems LLC
- Interior Mobility Systems, LLC
- Interior Women'S Health, LLC
- Rosalia Ioane
- Christina Marie Ireton
- Ironlight Behavioral Health Services, LLC
- Jodi Ann Irvine
- Nettie O. L. Irwin
- Hisako Ito
- Donald Ives
All providers in Fairbanks, AK · Behavior Technician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2017. 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.