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Angelina Bethany Bourasaw
Day Training/Habilitation Specialist in Wasilla, Alaska
NPI 1720607310

Angelina Bethany Bourasaw is a Day Training/Habilitation Specialist based in Wasilla, AK. Angelina Bethany Bourasaw practices in Wasilla, AK. The NPI Number for Angelina Bethany Bourasaw is 1720607310 and holds a License No. (Alaska).

The current practice location address for Angelina Bethany Bourasaw is 1401 S Seward Meridian Pkwy, Wasilla, AK and can be reached out via phone at 907-631-3520 and via fax at 907-631-3634.

Location: 1401 S Seward Meridian Pkwy, Wasilla, AK, 99654-8312
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720607310
Provider Name
Angelina Bethany Bourasaw
Credential
Provider Entity Type
Individual
Gender
Female
Address
1401 S Seward Meridian Pkwy, Wasilla, AK, 99654-8312
Phone Number
907-631-3520
Fax Number
907-631-3634
Provider Enumeration Date
04/13/2020
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1684440 05 AK
institution
Provider Business Practice Location Address Details
Address
1401 S Seward Meridian Pkwy
City
Wasilla
State
Alaska
Zip
99654-8312
Phone Number
907-631-3520
Fax Number
907-631-3634
person
Provider Business Mailing Address Details
Address
1401 S Seward Meridian Pkwy
City
Wasilla
State
Alaska
Zip
99654-8312
Phone Number
907-631-3520
Fax Number
907-631-3634
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Day Training/Habilitation Specialist
Speciality
-
Taxonomy
373H00000X
License No.
()
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
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