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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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