Individual
HANNAH VAVRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 30TH AVE S, MOORHEAD, MN 56560-5149
(218) 282-5299
Mailing address
1547 30TH AVE S, MOORHEAD, MN 56560-5149
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
05/04/2022
Last updated
12/06/2024
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