Alicia Brittney Blank
Individual provider Active NPI Behavior Technician · Seward, AK
NPI 1881290260 · NPPES record last updated Dec 10, 2020
Key facts
- NPI
- 1881290260
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 302 Railway Ave.
Seward, AK 99664 - Phone
- (907) 224-5257
- NPI assigned
- Dec 10, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
302 Railway Ave.
Seward, AK 99664
Mailing address
33532 Vinewood LN
Seward, AK 99664-0070
Phone (760) 505-9538
Other providers in Seward, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.