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Gericka Charbonneau

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

NPI number1295578656
StatusActive
Last updated in NPPESJun 14, 2024

Details

NPI
1295578656
Entity type
Individual (NPI-1)
Name
Gericka Charbonneau
Sex
Female
Sole proprietor
No
Enumeration date
Jun 14, 2024
Certification date
Jun 14, 2024
Last updated
Jun 14, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1520 2nd Ave Nw
West Fargo, ND 58078-1161

Phone 218-287-4338

Mailing address

1547 30th Ave S
Moorhead, MN 56560-5149

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