Individual
ELISHA PLACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4530 NORTHERN SKY DR, BISMARCK, ND 58503-8534
(701) 751-6336
(701) 751-6337
Mailing address
3060 FRONTIER WAY S, FARGO, ND 58104-8909
(701) 232-2340
(701) 232-2330
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L142
ND
106S00000X
Behavior Technician
RBT-23-252482
ND
Other
Enumeration date
01/18/2023
Last updated
12/09/2024
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