OrganizationActive
Behavioral Health Associates, Ltd.
NPI 1104128156 · Intellectual & Developmental Disabilities Psychologist · Moorhead, MN
Provider details
- NPI number
- 1104128156
- Entity type
- Organization
- Primary specialty
- Intellectual & Developmental Disabilities PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Lundquist, Administrative Director(800) 246-9036
- License
- A470016300 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1132 28th Ave S
Suite 105a
Moorhead, MN 56560-4420
Phone: (800) 246-9036
Fax: (888) 688-4095
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 40
Paynesville, MN 56362-0040
Registry dates
- Enumerated
- 2010-11-24
- Last updated
- 2010-11-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.