Jonathan Widman
Jonathan Widman is a Behavior Technician in Fairbanks, Alaska. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
3101 Lathrop StFairbanks, AK 99701-7426
Phone: (907) 459-4700
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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 | 1972112068 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 24, 2020 |
| Last updated in NPPES | July 24, 2020 |
| Certification date | July 24, 2020 |
| Mailing address | 3101 Lathrop St, Fairbanks, AK 99701-7426 |
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