Individual
MICHELE COUSINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1905 14TH ST W, WILLISTON, ND 58801-4063
(701) 651-6437
(701) 516-8462
Mailing address
1905 14TH ST W, WILLISTON, ND 58801-4063
(701) 651-6437
(701) 516-8462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-276573
ND
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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