Individual
SKYE MICHAEL PAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 E CAPITOL AVE, BISMARCK, ND 58501-2001
(701) 204-7870
Mailing address
2018 KOCH DR APT 311, BISMARCK, ND 58503-1246
(605) 877-2552
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-36642
ND
Other
Enumeration date
08/21/2017
Last updated
08/21/2017
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