IndividualActive
Anna Wicklow
NPI 1952268971 · Behavior Technician · Moorhead, MN
Provider details
- NPI number
- 1952268971
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1530 1st Ave N Ste 150
Moorhead, MN 56560-0002
Phone: (218) 275-6602
Approximate (ZIP-level) locationGet directions
Mailing address
1530 1st Ave N Ste 150
Moorhead, MN 56560-0002
Registry dates
- Enumerated
- 2026-01-09
- Last updated
- 2026-01-09
- Certified
- 2026-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.