Organization
NORTH STAR LEARNING AND BEHAVIOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBY MARIE WOLF PHD, LP, BCBA-D (CEO AND OWNER)
(484) 634-6279
Entity
Organization
Contact information
Practice address
112 CHAUCER CT, MANKATO, MN 56001-5600
(507) 407-0326
Mailing address
112 CHAUCER CT, MANKATO, MN 56001-5600
(507) 407-0326
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2021
Last updated
02/21/2021
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