Hannah Elam

Individual provider Active NPI Behavior Technician · Anchorage, AK

NPI 1255962015 · NPPES record last updated Jan 30, 2020

Key facts

NPI
1255962015
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
13030 Brandon St
Anchorage, AK 99515-3536
Phone
(907) 349-4222
NPI assigned
Jan 30, 2020
Sex
Female
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

Addresses

Primary practice location

13030 Brandon St
Anchorage, AK 99515-3536

Mailing address

13030 Brandon St
Anchorage, AK 99515-3536
Phone (907) 349-4222

Other providers in Anchorage, AK

All providers in Anchorage, AK · Behavior Technician in Alaska

Sources for this page

Verify at the official NPI Registry.