Individual
AMBER L VISINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4215 31ST AVE S STE A, FARGO, ND 58104-7743
(701) 478-0221
Mailing address
3745 MERRIFIELD DR S, FARGO, ND 58104-2503
(701) 441-4511
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-387646
—
174400000X
Specialist
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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