BRIAN T STAUB

WASILLA, AK
NPI1982178836
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: AK  RBT-19-75924)
Enumeration Date2019-01-14
Last Update Date2019-01-14
Business Address
BRIAN T STAUB
300 W SWANSON AVE
WASILLA, AK 99654-6844
Phone number: 907-521-0890
Mailing Address
BRIAN T STAUB
PO BOX 521196
BIG LAKE, AK 99652-1196
Phone number: 907-854-0668
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