Individual
KYLEE MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 WESTRAC DR S STE 400, FARGO, ND 58103-2356
(701) 280-9545
Mailing address
1202 WESTRAC DR S STE 400, FARGO, ND 58103-2356
(701) 280-9545
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
08/05/2022
Last updated
04/21/2025
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