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Alexis Berg

Behavior Analyst in Fargo, ND. Individual provider (NPI-1).

NPI number1003420175
StatusActive
Last updated in NPPESJun 1, 2021

Details

NPI
1003420175
Entity type
Individual (NPI-1)
Name
Alexis Berg
Sex
Female
Sole proprietor
No
Enumeration date
Sep 4, 2020
Certification date
Jun 1, 2021
Last updated
Jun 1, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes

Practice location

4725 Amber Valley Pkwy S Ste B
Fargo, ND 58104-8614

Phone 701-478-0221

Mailing address

4725 Amber Valley Pkwy S Ste B
Fargo, ND 58104-8614

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