Individual
KALEB MOGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4503 COLEMAN ST STE 203, BISMARCK, ND 58503-2017
(218) 287-4338
Mailing address
1547 30TH AVE S, MOORHEAD, MN 56560-5149
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64704
ND
174400000X
Specialist
—
—
Other
Enumeration date
06/18/2020
Last updated
03/21/2023
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