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NPI Code Detail

MEDICARE: ERICA THUNE

MEDICARE: ERICA THUNE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician
2103K00000XBehavior AnalystL147ND

General Provider Information

NPI Number : 1487173480
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA THUNE
Provider Business Mailing Address
First Line : 2200 20TH ST SW
Second Line :
City : JAMESTOWN
State : ND
Zip : 58401-7500
Country : US
Telephone Number : 701-252-3850
Fax Number :
Provider Business Practice Location Address
First Line : 1929 N WASHINGTON ST STE GG
Second Line :
City : BISMARCK
State : ND
Zip : 58501-1669
Country : US
Telephone Number : 701-751-2315
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2017
Last Update Date : 04/28/2026

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Directions to “ ERICA THUNE ” Practice Location

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