Individual
KATHRYN THEIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4725 AMBER VALLEY PKWY S STE B, FARGO, ND 58104-8614
(701) 478-0221
Mailing address
4725 AMBER VALLEY PKWY S STE B, FARGO, ND 58104-8614
(701) 478-0221
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
02/17/2019
Last updated
05/15/2023
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