Kaleb Mogard
Individual provider Active NPI Behavior Analyst · Bismarck, ND
NPI 1649896309 · NPPES record last updated Mar 21, 2023
Key facts
- NPI
- 1649896309
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-23-64704 (ND)
- Practice address
- 4503 Coleman St Ste 203
Bismarck, ND 58503-2017 - Phone
- (218) 287-4338
- NPI assigned
- Jun 18, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Behavior Analyst | 103K00000X | 1-23-64704 | ND | Yes |
Addresses
Primary practice location
4503 Coleman St Ste 203
Bismarck, ND 58503-2017
Mailing address
1547 30TH Ave S
Moorhead, MN 56560-5149
Other practice location 1
1126 Westrac Dr S
Fargo, ND 58103-2473
Phone (218) 287-4338
Other providers in Bismarck, ND
- Jason T Moe
- Olivia Ann Moe
- Douglas L. Moen
- Roy J. Moen
- Donelle Mogard
- Brenda Mohl
- Nancy C Moilanen
- Jody L Moldenhauer
- Gregory Molinaro
- Burton J Mollman
All providers in Bismarck, ND · Behavior Analyst 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 Mar 21, 2023. 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.