Kerisha South, RBT

NPI #1114426897 in Fairbanks, Alaska

Provider Information

NPI Number: 1114426897
Entity Type: Individual
Name: Kerisha South, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Feb 7, 2018
Last Updated: Feb 7, 2018

Practice Location

Address: 3568 GERAGHTY AVE
City: Fairbanks
State: Alaska
ZIP Code: 99709-4701
Phone: (907) 374-7001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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