MACKENZIE BERG
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1760379077- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1520 2ND AVE NW, WEST FARGO, ND, 580781161
- Phone
- (218) 287-4338
Specialties & Taxonomies
Behavior Technician
Primary
All Addresses
MAILING
1547 30TH AVE S
MOORHEAD, MN, 565605149