Nicole Ventzke

NPI #1225402134 in Moorhead, Minnesota

Provider Information

NPI Number: 1225402134
Entity Type: Individual
Name: Nicole Ventzke
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Nov 17, 2015
Last Updated: Jan 16, 2018

Practice Location

Address: 891 BELSLY BLVD
City: Moorhead
State: Minnesota
ZIP Code: 56560-5055
Phone: (218) 287-4338

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X
Specialist	174400000X	Primary

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