Organization
AMTH9085
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MOUM-KASIN MS, BCBA, LBA (ND) (BEHAVIOR ANALYST)
(701) 333-8675
Entity
Organization
Contact information
Practice address
25 36TH AVENUE CIR S, MOORHEAD, MN 56560-5558
(701) 333-8675
Mailing address
25 36TH AVENUE CIR S, MOORHEAD, MN 56560-5558
(701) 333-8675
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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