Maya Brianna Bolak
NPI #1982187092 in Eagle River, Alaska
Provider Information
- NPI Number
- 1982187092
- Entity Type
- Individual
- Name
- Maya Brianna Bolak
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Sep 13, 2018
- Last Updated
- Sep 13, 2018
Practice Location
- Address
- 16941 N EAGLE RIVER LOOP RD
- City
- Eagle River
- State
- Alaska
- ZIP Code
- 99577-7824
- Phone
- (907) 726-5330
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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