Josephine D Leyva Fuller

NPI #1063056141 in Fairbanks, Alaska

Provider Information

NPI Number: 1063056141
Entity Type: Individual
Name: Josephine D Leyva Fuller
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 1, 2019
Last Updated: Nov 1, 2019

Practice Location

Address: 3101 LATHROP ST
City: Fairbanks
State: Alaska
ZIP Code: 99701-7426
Phone: (907) 459-4700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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