Marie Kauhako

Individual provider Active NPI Behavior Analyst · Fargo, ND

NPI 1629440359 · NPPES record last updated Oct 21, 2015

Key facts

NPI
1629440359
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
1330 Page Dr S
Fargo, ND 58103-3500
Phone
(218) 287-4338
Fax
(701) 540-0442
NPI assigned
Oct 21, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

1330 Page Dr S
Fargo, ND 58103-3500

Mailing address

891 Belsly Blvd
Moorhead, MN 56560-5055
Phone (218) 287-4338

Other providers in Fargo, ND

All providers in Fargo, ND · Behavior Analyst in North Dakota

Sources for this page

Verify at the official NPI Registry.