Justin Born

NPI #1093291338 in Wasilla, Alaska

Provider Information

NPI Number: 1093291338
Entity Type: Individual
Name: Justin Born
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 18, 2018
Last Updated: Jul 19, 2018

Practice Location

Address: 300 W SWANSON AVE
City: Wasilla
State: Alaska
ZIP Code: 99654
Phone: (907) 521-0890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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