Organization
HEART OF BEHAVIOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL L HENDERSON BCBA (PRESIDENT)
(218) 329-5609
Entity
Organization
Contact information
Practice address
1306 WESTPORT BEACH WAY, WEST FARGO, ND 58078-8860
(218) 329-5609
Mailing address
1306 WESTPORT BEACH WAY, WEST FARGO, ND 58078-8860
(218) 329-5609
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L8
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-07-3910
BEHAVIOR ANALYST CERTIFICATION BOARD, INC
ND
Enumeration date
02/22/2013
Last updated
05/16/2013
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