Johnny Richard Clyde
Johnny Richard Clyde is a Behavior Technician in Fairbanks, Alaska. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1521 Hilton AveFairbanks, AK 99701-4015
Phone: (907) 371-1308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1932864220 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 2, 2021 |
| Last updated in NPPES | November 2, 2021 |
| Certification date | November 2, 2021 |
| Mailing address | 4020 Folker St, Anchorage, AK 99508-5321 |
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