IndividualActive
Karen Blackburn
NPI 1467740779 · Developmentally Disabled Services Day Training Agency · Fairbanks, AK
Provider details
- NPI number
- 1467740779
- Entity type
- Individual
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
- Health & Wellness Coach171400000X
Other Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
- Peer Specialist175T00000X
Other Service Providers
- Dance Therapist225600000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Case Management Agency251B00000X
Agencies
Practice location
909 Cushman St Ste 103
Fairbanks, AK 99701-4668
Phone: (907) 456-4620
Fax: (907) 457-6598
Approximate (ZIP-level) locationGet directions
Mailing address
122 1st Ave
Fairbanks, AK 99701-4803
Registry dates
- Enumerated
- 2011-07-20
- Last updated
- 2024-07-10
- Certified
- 2024-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.