Individual
RACHEL BENOLKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1530 1ST AVE N STE 150, MOORHEAD, MN 56560-0002
(218) 371-1690
Mailing address
891 BELSLY BLVD, MOORHEAD, MN 56560-5055
(218) 287-4338
(218) 287-5928
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L46
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1469681
—
ND
Enumeration date
10/19/2016
Last updated
11/10/2023
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