Matthew Ross Newcombe, BH CONSULTANT

Individual provider Active NPI Behavior Technician · Anchorage, AK

NPI 1134838725 · NPPES record last updated Apr 5, 2023

Key facts

NPI
1134838725
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
4320 Diplomacy Dr
Anchorage, AK 99508-5925
Phone
(907) 729-8901
Fax
(907) 729-6353
NPI assigned
Nov 22, 2022
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
Behavior Technician 106S00000X Yes
Counselor 101Y00000X

Addresses

Primary practice location

4320 Diplomacy Dr
Anchorage, AK 99508-5925

Mailing address

7033 E Tudor Rd
Anchorage, AK 99507-1262
Phone (907) 729-8901

Other providers in Anchorage, AK

All providers in Anchorage, AK · Behavior Technician in Alaska

Sources for this page

Verify at the official NPI Registry.