Kelly R Boyden, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4215 31St Ave S Ste a
Fargo, ND 58104-7743

Phone

(701) 478-0221

Fax

(701) 478-0222

NPI assigned

Sep 25, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Integrated Intervention Specialists, LLC

  • Community/Behavioral Health Agency
  • Fargo, ND
  • NPI 1275194136
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1275350613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4393 CALICO DR S APT 205",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048604",
            "telephone_number": "320-219-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 31ST AVE S STE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047743",
            "telephone_number": "701-478-0221",
            "fax_number": "701-478-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYDEN",
        "first_name": "KELLY",
        "middle_name": "R",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Bowker, MD
• Weston Eugene Bowker, MD
• Anneli Helmi Bowman, MSW LICSW
• Laurel T Bowman, CDE
• Nichole C Boyd
• Kali Lynn Boyer, NP
• Rachael T Boyer, PA-C
• Sara Anne Boyer
• Sarah Boyer
• Geriley Rae Boyum, LPN, RN

• All providers in Fargo, ND
• Behavior Technician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.