Brenna Ravenshead

NPI #1023896271 in Minot, North Dakota

Provider Information

NPI Number: 1023896271
Entity Type: Individual
Name: Brenna Ravenshead
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 19, 2023
Last Updated: Sep 19, 2023

Practice Location

Address: 1015 S BROADWAY STE 15
City: Minot
State: North Dakota
ZIP Code: 58701-4667
Phone: (701) 852-6154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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