| Heart Of Behavior, Llc | |
|
1306 Westport Beach Way West Fargo ND 58078-8860 | |
| (218) 329-5609 | |
| Not Available |
| Full Name | Heart Of Behavior, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1306 Westport Beach Way, West Fargo, North Dakota |
| Authorized Official Name and Position | Crystal L Henderson (PRESIDENT) |
| Authorized Official Contact | 2183295609 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart Of Behavior, Llc 1306 Westport Beach Way West Fargo ND 58078-8860 Ph: (218) 329-5609 | Heart Of Behavior, Llc 1306 Westport Beach Way West Fargo ND 58078-8860 Ph: (218) 329-5609 |
| NPI Number | 1780924076 |
|---|---|
| Provider Enumeration Date | 02/22/2013 |
| Last Update Date | 05/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780924076 | NPI | - | NPPES |
| 1-07-3910 | Other | ND | BEHAVIOR ANALYST CERTIFICATION BOARD, INC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | L8 (North Dakota) | Primary |
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