Kyle William Larson

NPI #1639709868 in Sitka, Alaska

Provider Information

NPI Number: 1639709868
Entity Type: Individual
Name: Kyle William Larson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 15, 2020
Last Updated: Jan 15, 2020

Practice Location

Address: 222 TONGASS DR
City: Sitka
State: Alaska
ZIP Code: 99835-9416
Phone: (907) 966-8611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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