Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MOMODOUBOLONG FAITALA
ActiveMOMODOUBOLONG FAITALA is a Behavior Technician healthcare provider located in ANCHORAGE, Alaska. NPI 1144810763 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · ANCHORAGE, AK
Registration Details
- NPI Number
- 1144810763
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 19, 2021 (5.5535934475528 yrs)
- Last Updated
- Dec 17, 2021
- License
-
RBT-21-196652 (AK)
Practice Information
- Address
-
3105 LAKESHORE DR STE A101ANCHORAGE, AK, 995172815Browse AK providers · Browse ZIP 99517
- Phone
- 9073029164
- Primary Specialty
-
Behavior Technician
106S00000X
- Additional Specialty
- Behavior Technician
Other Behavior Technician Providers in ANCHORAGE, AK
| Name | Credential | NPI |
|---|---|---|
| JEANETTE CAMPBELL | — | 1710975867 |
| MRS. MARET KATHLEEN RAHN | — | 1922287309 |
| SANDRA LYNNE COOKE | — | 1750618849 |
| KENNETH D SWAZER | BHT II | 1548646961 |
| NATHAN STAMM | — | 1831648963 |
| SHAKA SINGLETON | — | 1427508860 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.