FABIAN BANUELOS
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1427323328- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 508 UPLAND ST, KENAI, AK, 996118026
- Phone
- (907) 335-7500
Specialties & Taxonomies
Behavior Analyst
Social Worker, Clinical
Primary License: PR #16436