Individual
BRANDY LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4725 AMBER VALLEY PKWY S STE B, FARGO, ND 58104-8614
(701) 478-0221
Mailing address
4725 AMBER VALLEY PKWY S STE B, FARGO, ND 58104-8614
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
07/06/2022
Last updated
07/14/2022
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