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Individual

ALEXIS HAVERLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
203 NEUMAN BLVD, COLFAX, ND 58018-2812
(701) 640-6898
Mailing address
647 13TH AVE E, WEST FARGO, ND 58078-3328
(701) 277-8844

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB756230
ND
106S00000X
Behavior Technician

Other

Enumeration date
01/13/2022
Last updated
12/04/2024
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