Heart of Behavior, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

L8 Issued in ND

Legal business name

HEART OF BEHAVIOR, LLC

Practice address

1306 Westport Beach Way
West Fargo, ND 58078-8860

Phone

(218) 329-5609

NPI assigned

Feb 22, 2013

Last updated

May 16, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Crystal L Henderson, BCBA

Title

President

Phone

(218) 329-5609

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1780924076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 WESTPORT BEACH WAY",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788860",
            "telephone_number": "218-329-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 WESTPORT BEACH WAY",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788860",
            "telephone_number": "218-329-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF BEHAVIOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-22",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-329-5609",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "ND",
            "license": "L8",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD, INC",
            "identifier": "1-07-3910",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in West Fargo, ND
• Providers in West Fargo, ND by specialty
• Behavior Analyst in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.