Most Relevant Information
Provider Data
| NPI Number: | 1003533795 |
| Provider Name: | CHLOE HENRICKSON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/24/2022 |
| Last Updated: | 10/24/2022 |
Provider Practice Location
1405 PRAIRIE PKWY STE 309
WEST FARGO
ND
580783323
Practice Location Phone/Fax
| Phone: | 7012778844 |
| Fax: |
Provider Mailing Location
647 13TH AVE E
WEST FARGO
ND
580783328
Provider Mailing Phone/Fax
| Phone: | 7012778844 |
| Fax: |