Tristan Shea Vandelac

NPI #1659996486 in Wasilla, Alaska

Provider Information

NPI Number
1659996486
Entity Type
Individual
Name
Tristan Shea Vandelac
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Jun 8, 2020
Last Updated
Jun 8, 2020

Practice Location

Address
300 W SWANSON AVE
State
Alaska
ZIP Code
99654-6844
Phone
(907) 357-0890

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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