Most Relevant Information
Provider Data
| NPI Number: | 1003697210 |
| Provider Name: | CHANIKARN KUCINSKI |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/12/2023 |
| Last Updated: | 11/21/2023 |
Provider Practice Location
926 ASPEN ST
FAIRBANKS
AK
997095501
Practice Location Phone/Fax
| Phone: | 9073711300 |
| Fax: |
Provider Mailing Location
4020 FOLKER ST
ANCHORAGE
AK
995085386
Provider Mailing Phone/Fax
| Phone: | 9075631000 |
| Fax: |