Troy Carl Larson

NPI #1710518006 in Petersburg, Alaska

Provider Information

NPI Number: 1710518006
Entity Type: Individual
Name: Troy Carl Larson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 27, 2020
Last Updated: Jan 27, 2020

Practice Location

Address: 200 FRAM STREET
City: Petersburg
State: Alaska
ZIP Code: 99833
Phone: (907) 772-3332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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