Individual
BLAKE VETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
1221 W DIVIDE AVE STE 2, BISMARCK, ND 58501-1224
(701) 204-7870
Mailing address
1221 W DIVIDE AVE STE 2, BISMARCK, ND 58501-1224
(701) 204-7870
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-74104
ND
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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