Individual
KIMBERLY DEWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2016 S WASHINGTON ST, GRAND FORKS, ND 58201-6342
(701) 757-4200
Mailing address
2016 S WASHINGTON ST, GRAND FORKS, ND 58201-6342
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-69064
ND
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/25/2022
Last updated
10/26/2023
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