Kira Bossert, LSW

Individual provider Active NPI Behavior Technician · Jamestown, ND

NPI 1508381815 · NPPES record last updated Aug 8, 2017

Key facts

NPI
1508381815
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
701 3Rd St NW
Jamestown, ND 58401-2963
Phone
(701) 552-3968
NPI assigned
Aug 8, 2017
Sex
Female
Sole proprietor
Yes

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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

701 3Rd St NW
Jamestown, ND 58401-2963

Mailing address

701 3Rd St NW
Jamestown, ND 58401-2963

Other providers in Jamestown, ND

All providers in Jamestown, ND · Behavior Technician in North Dakota

Sources for this page

Verify at the official NPI Registry.