| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ERIN KEELY DAHLQUIST | 1841815214 | 2021-11-21 |
Erin Keely Dahlquist is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1841815214. Registration indicates Erin Keely Dahlquist is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, ) (Other Service Providers, Case Manager/Care Coordinator) (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers)
| Entity Type | Individual |
| Provider Name | Erin Keely Dahlquist |
| Practice Office Address | 414 11TH ST N FARGO, ND US |
| Practice Office Telephone | 7014781097 |
| Mailing Address | 600 S 2ND ST STE 308C BISMARCK, ND 585045726 US |
| Business Telephone | 7012234517 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician | |
| 171M00000X PRIMARY | Other Service Providers Case Manager/Care Coordinator Case Manager/Care Coordinator All Other Specialties & Provider Types Case Manager/Care Coordinator Other Service Providers |