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

Kieran D Samuelson

Individual provider Behavior Technician · NPI 1629665823

Kieran D Samuelson is a Behavior Technician in Bethel, Alaska. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

5016 Noel Polty Blvd
Bethel, AK 99559
Phone: (907) 543-6800
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 number1629665823
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 22, 2020
Last updated in NPPESDecember 22, 2020
Certification dateDecember 18, 2020
Mailing addressPo Box 528, Bethel, AK 99559-0528

Other providers in Bethel