Most Relevant Information
Provider Data
| NPI Number: | 1003521444 |
| Provider Name: | DOMINIK ROBERT MCANLY |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/19/2023 |
| Last Updated: | 01/19/2023 |
Provider Practice Location
16941 N EAGLE RIVER LOOP RD
EAGLE RIVER
AK
995777824
Practice Location Phone/Fax
| Phone: | 9072064421 |
| Fax: |
Provider Mailing Location
16941 N EAGLE RIVER LOOP RD
EAGLE RIVER
AK
995777824
Provider Mailing Phone/Fax
| Phone: | 9072064421 |
| Fax: |