Courtney Wise

NPI #1124506100 in Anchorage, Alaska

Provider Information

NPI Number: 1124506100
Entity Type: Individual
Name: Courtney Wise
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 1, 2018
Last Updated: Aug 1, 2018

Practice Location

Address: 540 W INTERNATIONAL AIRPORT RD
City: Anchorage
State: Alaska
ZIP Code: 99518-1105
Phone: (907) 433-4864

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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