Individual
JAENNA CELINE WOLFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4725 AMBER VALLEY PKWY S STE B, FARGO, ND 58104-8614
(701) 478-0221
(701) 478-0222
Mailing address
210 5TH AVE, ARTHUR, ND 58006-7723
(701) 205-8609
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-298844
ND
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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