JUSTIN BORN

WASILLA, AK
NPI1093291338
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: AK  RBT-18-60351)
Enumeration Date2018-07-18
Last Update Date2018-07-19
Business Address
JUSTIN BORN
300 W SWANSON AVE
WASILLA, AK 99654
Phone number: 907-521-0890
Mailing Address
JUSTIN BORN
300 W SWANSON AVE
WASILLA, AK 99654-6844
Phone number: