Healthcare Provider Details

I. General information

NPI: 1295224442
Provider Name (Legal Business Name): SARAH ASHLEY HUFFSTETLER BEHAVIOR TECHNICIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH ASHLEY AUNGST

II. Dates (important events)

Enumeration Date: 05/03/2018
Last Update Date: 08/23/2023
Certification Date: 08/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 S WASHINGTON ST STE G
GRAND FORKS ND
58201-8155
US

IV. Provider business mailing address

PO BOX 5210
GRAND FORKS ND
58206-5210
US

V. Phone/Fax

Practice location:
  • Phone: 701-205-3000
  • Fax: 701-732-2501
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6391
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: