IndividualActive
Brian Staub
NPI 1982178836 · Behavior Technician · Wasilla, AK
Provider details
- NPI number
- 1982178836
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- RBT-19-75924 (AK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
300 W Swanson Ave
Wasilla, AK 99654-6844
Phone: (907) 521-0890
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 521196
Big Lake, AK 99652-1196
Registry dates
- Enumerated
- 2019-01-14
- Last updated
- 2019-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.