Ron R. Peck, BA
Individual provider Active NPI Behavior Analyst · Grand Forks, ND
NPI 1871937656 · NPPES record last updated Apr 23, 2013
Key facts
- NPI
- 1871937656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- E-14(9) (ND)
- Practice address
- 151 S 4TH St
Suite 401
Grand Forks, ND 58201-4715 - Phone
- (701) 795-3000
- Fax
- (701) 795-3050
- NPI assigned
- Apr 23, 2013
- Sex
- Male
- 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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-14(9) | ND | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | E-14(9) | ND | Yes |
Addresses
Primary practice location
151 S 4TH St
Suite 401
Grand Forks, ND 58201-4715
Mailing address
151 S 4TH St
Suite 401
Grand Forks, ND 58201-4715
Phone (701) 795-3000
Other providers in Grand Forks, ND
- Rolf R Paulson
- Kevin Pavlik
- Sharyl Payne
- Christal Peabody
- Peace and Care LLC
- Sydney Pede
- Julianne Pedersen
- David Pederson
- James Pederson
- Jennifer Ann Pederson
All providers in Grand Forks, ND · Behavior Analyst in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.