Tyler Swatlowski
Behavior Technician in West Fargo, ND. Individual provider (NPI-1).
NPI number1154075232
StatusActive
Last updated in NPPESFeb 8, 2022
Details
- NPI
- 1154075232
- Entity type
- Individual (NPI-1)
- Name
- Tyler Swatlowski
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 8, 2022
- Certification date
- Feb 8, 2022
- Last updated
- Feb 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1042 14th Ave EWest Fargo, ND 58078-3363
Phone 701-277-8844
Mailing address
647 13th Ave EWest Fargo, ND 58078-3328
Phone 701-277-8844
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