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Organization
NORTH DAKOTA AUTISM CENTER, INC
Active
Organization
NORTH DAKOTA AUTISM CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA MARUM (DIRECTOR OF FINANCE)
(701) 532-4578
Entity
Organization
Contact information
Practice address
647 13TH AVE E, STE A, WEST FARGO, ND 58078-3328
(701) 277-8844
(701) 277-8847
Mailing address
647 13TH AVE E, STE A, WEST FARGO, ND 58078-3328
(701) 277-8844
(701) 277-8847
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2008
Last updated
09/23/2024
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