Fabian Banuelos

NPI #1427323328 in Kenai, Alaska

Provider Information

NPI Number
1427323328
Entity Type
Individual
Name
Fabian Banuelos
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Enumeration Date
Mar 12, 2012
Last Updated
Nov 5, 2024

Practice Location

Address
508 UPLAND ST
City
Kenai
State
Alaska
ZIP Code
99611-8026
Phone
(907) 335-7500

Specialties & Taxonomy Codes

Specialty
Behavior Analyst
Social Worker - ClinicalClinical

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