Tasha Halsema

Individual provider Active NPI Behavior Technician · Anchorage, AK

NPI 1295301489 · NPPES record last updated Oct 26, 2021

Key facts

NPI
1295301489
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-21-172924 (AK)
Practice address
3105 Lake Shore Drive
Suite 4-101
Anchorage, AK 99517
Phone
(907) 302-9164
Fax
(209) 759-2653
NPI assigned
May 28, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RBT-21-172924AKMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Method Works LLC Past
since Oct 31, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X
Behavior Technician 106S00000X RBT-21-172924 AK Yes

Addresses

Primary practice location

3105 Lake Shore Drive
Suite 4-101
Anchorage, AK 99517

Mailing address

PO Box 241224
Anchorage, AK 99524
Phone (907) 302-9164

Other identifiers

IdentifierTypeStateIssuer
N.AOtherAKN.A

Electronic endpoints

TypeEndpointUseAffiliation
Other URL Anchorage

Other providers in Anchorage, AK

All providers in Anchorage, AK · Behavior Technician in Alaska

Sources for this page

Verify at the official NPI Registry.