Amber White

Individual provider Active NPI Behavior Technician · Grand Forks, ND

NPI 1396260808 · NPPES record last updated Aug 4, 2017

Key facts

NPI
1396260808
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-17-31401 (ND)
Practice address
2016 S Washington St.
Grand Forks, ND 58201
Phone
(701) 757-4200
NPI assigned
Aug 4, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RBT-17-31401NDMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Carlsen Center Behavior Technician Past
since Feb 28, 2025
Accepting new patients
Anne Carlsen Center Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-17-31401 ND Yes

Addresses

Primary practice location

2016 S Washington St.
Grand Forks, ND 58201

Mailing address

2016 S Washington St
Grand Forks, ND 58201-6342

Other providers in Grand Forks, ND

All providers in Grand Forks, ND · Behavior Technician in North Dakota

Sources for this page

Verify at the official NPI Registry.