Organization
CENTER FOR BEHAVIORAL CHANGE
Active
Organization
CENTER FOR BEHAVIORAL CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENAE M REINARDY SPIRY PSYD (OWNER)
(701) 356-1047
Entity
Organization
Contact information
Practice address
1450 25TH ST S, FARGO, ND 58103-8105
(701) 356-1047
(701) 356-1052
Mailing address
1450 25TH ST S, FARGO, ND 58103-8105
(701) 356-1047
(701) 356-1052
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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