NPI 1104293489

Brandon Greenstreet, MA

Practitioner Behavior Analyst Fairbanks, AK

Practice location

Address: 724 27th Ave STE 2, Fairbanks, AK 99701-7042
Phone: (907) 374-2905
Fax: (907) 374-2915

Registered specialties (2)

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

Other Behavior Analyst providers in Alaska →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Other Counselor providers in Alaska →

Registry record

NPI: 1104293489
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Aug 2015
Record last updated: 24 Sep 2020

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.