Individual
KYRA REESE WELDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 WESTRAC DR S STE 400, FARGO, ND 58103-2356
(701) 280-4505
Mailing address
1202 WESTRAC DR S STE 400, FARGO, ND 58103-2356
(701) 280-4505
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
08/14/2025
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