Heidi Alonzo

Individual provider Active NPI Behavior Technician · Kodiak, AK

NPI 1750276705 · NPPES record last updated Jun 10, 2025

Key facts

NPI
1750276705
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
916 E Rezanof Dr
Kodiak, AK 99615-6724
Phone
(907) 942-1294
NPI assigned
Jun 10, 2025
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

916 E Rezanof Dr
Kodiak, AK 99615-6724

Mailing address

PO Box 147
Kodiak, AK 99615-0147

Other providers in Kodiak, AK

All providers in Kodiak, AK · Behavior Technician in Alaska

Sources for this page

Verify at the official NPI Registry.