Jordey Skylar Brown-Smith
Individual provider Active NPI Behavior Technician · Fargo, ND
NPI 1407465396 · NPPES record last updated Jul 27, 2020
Key facts
- NPI
- 1407465396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2800 Main Ave
Fargo, ND 58103-6811 - Phone
- (310) 490-1629
- NPI assigned
- Jul 27, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
2800 Main Ave
Fargo, ND 58103-6811
Mailing address
2800 Main Ave
Fargo, ND 58103-6811
Phone (310) 490-1629
Other providers in Fargo, ND
- Sarah M Brosz
- Jennifer Brottlund
- Kayla Brottlund
- Erin Marie Brousseau
- Carrie M Brower-Breitwieser
- Alexandra L Brown
- Amanda Jo Brown
- Anthony N Brown
- Bradley Thomas Brown
- Camille Anne Brown
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 Jul 27, 2020. 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.