Total Behavior Support LLC

NPI #1518541713 in Minot, North Dakota

Provider Information

NPI Number: 1518541713
Entity Type: Organization
Organization Name: Total Behavior Support LLC
Primary Specialty: Behavior Analyst
Enumeration Date: May 12, 2021
Last Updated: Jul 19, 2021

Practice Location

Address: 1015 S BROADWAY STE 16
City: Minot
State: North Dakota
ZIP Code: 58701-4667
Phone: (707) 450-7587

Authorized Official

Name: MRS. ANDREA NICCOLE KORNELIS, LBA
Title: BCBA
Phone: (707) 450-7587

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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