Jyotis Baquiran

Individual provider Active NPI Day Training/Habilitation Specialist · Anchorage, AK

NPI 1083239263 · NPPES record last updated Jun 12, 2020

Key facts

NPI
1083239263
Entity type
Individual (NPI type 1)
Primary specialty
Day Training/Habilitation Specialist 373H00000X
Practice address
7521 Brayton Dr
Anchorage, AK 99507-2667
Phone
(900) 929-5826
NPI assigned
Jun 12, 2020
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)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X Yes

Addresses

Primary practice location

7521 Brayton Dr
Anchorage, AK 99507-2667

Mailing address

7521 Brayton Dr
Anchorage, AK 99507-2667
Phone (900) 929-5826

Other identifiers

IdentifierTypeStateIssuer
N.AOtherAKN.A

Electronic endpoints

TypeEndpointUseAffiliation
Other URL anchorage

Other providers in Anchorage, AK

All providers in Anchorage, AK · Day Training/Habilitation Specialist in Alaska

Sources for this page

Verify at the official NPI Registry.