Nolan Wade, RBT

NPI #1508645532 in Perham, Minnesota

Provider Information

NPI Number: 1508645532
Entity Type: Individual
Name: Nolan Wade, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Sep 28, 2023
Last Updated: Oct 19, 2023

Practice Location

Address: 735 3RD ST SW
City: Perham
State: Minnesota
ZIP Code: 56573-1152
Phone: (605) 271-2690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary
Day Training/Habilitation Specialist	373H00000X

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