Individual
NAOMI MIELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4342 15TH AVE S STE 105, FARGO, ND 58103-1125
(701) 936-9495
Mailing address
4342 15TH AVE S STE 105, FARGO, ND 58103-1125
(701) 936-9495
(701) 936-9495
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L146
ND
106S00000X
Behavior Technician
—
MN
Other
Enumeration date
09/10/2021
Last updated
12/15/2025
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