Most Relevant Information
Provider Data
| NPI Number: | 1003457169 |
| Provider Name: | AMANDA ECKERT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/30/2019 |
| Last Updated: | 09/30/2019 |
Provider Practice Location
3101 LATHROP ST
FAIRBANKS
AK
997017426
Practice Location Phone/Fax
| Phone: | 9074594700 |
| Fax: |
Provider Mailing Location
3101 LATHROP ST
FAIRBANKS
AK
997017426
Provider Mailing Phone/Fax
| Phone: | 9074594700 |
| Fax: |