Kelly S Anderson

NPI #1063077147 in Anchorage, Alaska

Provider Information

NPI Number: 1063077147
Entity Type: Individual
Name: Kelly S Anderson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 5, 2019
Last Updated: May 5, 2019

Practice Location

Address: 225 EAGLE ST
City: Anchorage
State: Alaska
ZIP Code: 99501-2626
Phone: (907) 729-9550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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