Most Relevant Information
Provider Data
NPI Number: | 1003554460 |
Provider Name: | LONDON ANDEL |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 05/25/2022 |
Last Updated: | 05/25/2022 |
Provider Practice Location
4152 30TH AVE S
FARGO
ND
581048524
Practice Location Phone/Fax
Phone: | 7013642663 |
Fax: |
Provider Mailing Location
4152 30TH AVE S
FARGO
ND
581048524
Provider Mailing Phone/Fax
Phone: | 7013642663 |
Fax: |