Individual provider · Type 1 NPI

Matthew Raymond Lautersack

Day Training/Habilitation Specialist · Bethel, AK

NPI number 1487062295 Active

Practice location

839 Chief Eddie Hoffman Hwy.
Bethel, AK 99559-0528

Fax (907) 543-6729

Mailing address

P.o. Box 528, Attn: Bh Malone Home Program
Bethel, AK 99559-0528

Specialties and licenses

TaxonomyCodeLicense
Day Training/Habilitation Specialist Primary 373H00000XNone listed

Day Training/Habilitation Specialist: 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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About NPI 1487062295

Matthew Raymond Lautersack's National Provider Identifier is 1487062295, issued on Jul 24, 2014. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Bethel, AK. The record was last updated on Jul 24, 2014.