Individual
MRS. CAROLINE MARIE HAVERKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
100 MAIN ST S, MINOT, ND 58701-3914
(702) 370-8030
Mailing address
100 MAIN ST S, MINOT, ND 58701-3914
(702) 370-8030
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-20-42989
—
103K00000X
Behavior Analyst
Primary
L89
ND
106S00000X
Behavior Technician
RBT-18-61741
NV
Other
Enumeration date
08/02/2018
Last updated
12/28/2023
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