| Center For Behavioral Change | |
|
1450 25th St S Fargo ND 58103-8105 | |
| (701) 356-1047 | |
| (701) 356-1052 |
| Full Name | Center For Behavioral Change |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1450 25th St S, Fargo, North Dakota |
| Authorized Official Name and Position | Renae M Reinardy Spiry (OWNER) |
| Authorized Official Contact | 7013561047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Behavioral Change 1450 25th St S Fargo ND 58103-8105 Ph: (701) 356-1047 | Center For Behavioral Change 1450 25th St S Fargo ND 58103-8105 Ph: (701) 356-1047 |
| NPI Number | 1992503924 |
|---|---|
| Provider Enumeration Date | 03/05/2025 |
| Last Update Date | 03/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992503924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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