NPI 1003321274

Tyler Martin, RBT

Practitioner Behavior Technician Fairbanks, AK

Practice location

Address: 3568 Geraghty Ave, Fairbanks, AK 99709-4701
Phone: (907) 374-7001
Fax: (907) 374-7008

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Alaska →

Registry record

NPI: 1003321274
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Dec 2017
Record last updated: 8 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.