Michell Dahl
Individual provider Active NPI Behavior Technician · Fargo, ND
NPI 1124695705 · NPPES record last updated Jun 10, 2021
Key facts
- NPI
- 1124695705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 3401 45TH St S
Fargo, ND 58104-8970 - Phone
- (701) 356-4384
- Fax
- (701) 356-4383
- NPI assigned
- Jun 10, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapy Partners, Inc. | Current |
Accepting new patients | |
| Pediatric Therapy Partners, Inc. | Behavior Technician | Current |
Accepting new patients |
Locations
3060 Frontier Way S
Fargo, ND 58104
Phone (701) 356-4384
3401 45th St S
Fargo, ND 58104
Phone (701) 356-4384
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
3401 45TH St S
Fargo, ND 58104-8970
Mailing address
3060 Frontier Way S
Fargo, ND 58104-8909
Phone (701) 232-2340
Other providers in Fargo, ND
- Jonathan P Dahl
- Kayliana Dahl
- Kevin Dahl
- Lindsey Jo Dahl
- Megan Dahl
- Natasha M Dahl
- Sonja Heide Dahl
- Tia Dahlen
- Tyler Dahlen
- Kaley Fisk Dahlgren
All providers in Fargo, ND · Behavior Technician in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.