Rainy Halvorson
Individual provider Active NPI Behavior Analyst · Fairbanks, AK
NPI 1972156453 · NPPES record last updated Jul 23, 2019
Key facts
- NPI
- 1972156453
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 1825 Marika Rd
Fairbanks, AK 99709-5521 - Phone
- (907) 474-0890
- NPI assigned
- Jul 23, 2019
- 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 Analyst | 103K00000X | Yes |
Addresses
Primary practice location
1825 Marika Rd
Fairbanks, AK 99709-5521
Mailing address
1825 Marika Rd
Fairbanks, AK 99709-5521
Phone (907) 474-0890
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2019. 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.