MOMODOUBOLONG FAITALA
NPI 1144810763
Behavior Technician in Anchorage, AK

Active since January 19, 2021
3105 LAKESHORE DR STE A101, ANCHORAGE, AK 99517(907) 302-9164 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 17, 2021, Jan 19, 2021 (2 updates tracked since 2021).

About Momodoubolong Faitala NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOMODOUBOLONG FAITALA (NPI 1144810763) is an individual behavior technician in Anchorage, Alaska, licensed in Alaska (RBT-21-196652) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1144810763
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameMOMODOUBOLONG FAITALA
Location Address3105 LAKESHORE DR STE A101Anchorage, AK 99517-2815
Mailing AddressPo Box 241224Anchorage, AK 99524-1224 · (907) 302-9164 · Fax (209) 759-2653
Sole ProprietorNo
Enumeration DateJanuary 19, 2021
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
NPPES CertifiedDecember 17, 2021
NPI 1144810763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in AK · RBT-21-196652
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
3105 LAKESHORE DR STE A101, Anchorage, AK 99517

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
3105 LAKESHORE DR STE A101
ANCHORAGE, AK 99517
Behavior Technician
3105 LAKESHORE DR STE A101
ANCHORAGE, AK 99517
Behavior Technician
3105 LAKESHORE DR STE A101
ANCHORAGE, AK 99517
Behavior Technician
3105 LAKESHORE DR STE A101
ANCHORAGE, AK 99517
Behavior Technician
3105 LAKESHORE DR STE A101
ANCHORAGE, AK 99517
Behavior Technician
3105 LAKESHORE DR STE A101
ANCHORAGE, AK 99517
Behavior Technician
3105 LAKESHORE DR STE A101
ANCHORAGE, AK 99517
Behavior Technician
3105 LAKESHORE DR STE A101
ANCHORAGE, AK 99517

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Momodoubolong Faitala's NPI number?

The NPI number for Momodoubolong Faitala is 1144810763. It was assigned to this individual provider in the NPPES registry on January 19, 2021.

Where is Momodoubolong Faitala located?

Momodoubolong Faitala practices at 3105 Lakeshore Dr Ste A101, Anchorage, AK 99517. The listed phone number is (907) 302-9164.

What is Momodoubolong Faitala's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Momodoubolong Faitala was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.