Individual
MYA KAY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1202 WESTRAC DR S STE 400, FARGO, ND 58103-2356
(701) 280-9545
Mailing address
1202 WESTRAC DR S STE 400, FARGO, ND 58103-2356
(701) 280-9545
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
01/17/2025
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