Individual
ASHLEE LIANNE RADTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3060 FRONTIER WAY S, FARGO, ND 58104-8909
(701) 232-2340
Mailing address
308 10TH AVE E, WEST FARGO, ND 58078-3004
(701) 850-9950
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
2355S0801X
Speech-Language Assistant
Primary
—
ND
Other
Enumeration date
10/01/2024
Last updated
07/07/2026
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