DALE FORMAN
Behavior Analyst
Active
Individual
NPI: 1023432457
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes | 0-13-5716 (SC) |
Frequently Asked Questions
NPI 1023432457 is the National Provider Identifier for DALE FORMAN, a Behavior Analyst provider located in Eagle River, AK. This NPI was enumerated on February 5, 2014.
DALE FORMAN practices at 12836 OLD GLENN HWY, Eagle River, AK 99577.
Quick Facts
- NPI
- 1023432457
- Type
- Individual
- Enumerated
- Feb 5, 2014
- Last Updated
- Feb 5, 2014
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