Individual
JOLYNN LENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1635 43RD ST S STE 105, FARGO, ND 58103-3579
(701) 412-2973
Mailing address
1547 30TH AVE S, MOORHEAD, MN 56560-5149
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-22-58154
—
103K00000X
Behavior Analyst
Primary
L100
ND
174400000X
Specialist
—
—
Other
Enumeration date
10/22/2019
Last updated
07/08/2022
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