Individual
TERESA EKREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3401 45TH ST S, FARGO, ND 58104
(701) 356-4384
Mailing address
3401 45TH ST S, FARGO, ND 58104-8970
(701) 356-4384
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
43P
ND
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/21/2017
Last updated
12/30/2020
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