Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly John Shover

Individual provider Behavior Technician · NPI 1619720232

Kelly John Shover is a Behavior Technician in Fairbanks, Alaska. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1521 Hilton Ave
Fairbanks, AK 99701-4015
Phone: (907) 371-1300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1619720232
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 11, 2024
Last updated in NPPESApril 11, 2024
Certification dateApril 11, 2024
Mailing address4020 Folker St, Anchorage, AK 99508-5386

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