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NPI Code Detail

MEDICARE: STEP-IN AUTISM SERVICES OF ALASKA, L.L.C.

MEDICARE: STEP-IN AUTISM SERVICES OF ALASKA, L.L.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427360411
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEP-IN AUTISM SERVICES OF ALASKA, L.L.C.
Provider Business Mailing Address
First Line : 3568 GERAGHTY AVE
Second Line :
City : FAIRBANKS
State : AK
Zip : 99709-4701
Country : US
Telephone Number : 907-374-7001
Fax Number : 907-374-7008
Provider Business Practice Location Address
First Line : 3568 GERAGHTY AVE
Second Line :
City : FAIRBANKS
State : AK
Zip : 99709-4701
Country : US
Telephone Number : 907-374-7001
Fax Number : 907-374-7008
Authorized Official
Title or Position : MANAGER
Name : LINDA ROBERTSON
Credential : BCBA
Telephone Number : 907-455-6467
Provider Enumeration Date : 07/08/2010
Last Update Date : 09/12/2023

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Directions to “STEP-IN AUTISM SERVICES OF ALASKA, L.L.C. ” Practice Location

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