Nicole Kruger

NPI #1598311060 in Wasilla, Alaska

Provider Information

NPI Number: 1598311060
Entity Type: Individual
Name: Nicole Kruger
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 12, 2019
Last Updated: Aug 12, 2019

Practice Location

Address: 3127 S ST MIHIEL CIR
City: Wasilla
State: Alaska
ZIP Code: 99654-0225
Phone: (907) 444-5455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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