Hannah Knudson

Individual provider Active NPI Behavior Technician · Fargo, ND

NPI 1760108708 · NPPES record last updated Oct 12, 2022

Key facts

NPI
1760108708
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-22-236553 (ND)
Practice address
3401 45TH St S
Fargo, ND 58104-8970
Phone
(701) 356-4384
Fax
(701) 356-4383
NPI assigned
Oct 12, 2022
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-22-236553NDMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Therapy Partners, Inc. Behavior Technician Past
since Oct 16, 2022
Accepting new patients
Pediatric Therapy Partners, Inc. Past
since Oct 16, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-22-236553 ND Yes

Addresses

Primary practice location

3401 45TH St S
Fargo, ND 58104-8970

Mailing address

3401 45TH St S
Fargo, ND 58104-8970
Phone (701) 356-4384

Other providers in Fargo, ND

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

Sources for this page

Verify at the official NPI Registry.