Active NPI
Emily Rose Hanson
- Behavior Analyst
- West Fargo, ND
National Provider Identifier
1851807507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1405 Prairie Pkwy Ste 309
West Fargo, ND 58078-3323 - Phone
- (701) 277-8844
- NPI assigned
- Dec 18, 2017
- Last updated
- Feb 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
1405 Prairie Pkwy Ste 309
West Fargo, ND 58078-3323
Mailing address
347 13TH Ave E
West Fargo, ND 58078
Phone (701) 277-8844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437321189 | Other | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1851807507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "347 13TH AVE E",
"city": "WEST FARGO",
"state": "ND",
"postal_code": "58078",
"telephone_number": "701-277-8844",
"fax_number": "701-277-8847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 PRAIRIE PKWY STE 309",
"city": "WEST FARGO",
"state": "ND",
"postal_code": "580783323",
"telephone_number": "701-277-8844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "EMILY",
"middle_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-18",
"last_updated": "2023-02-20",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "1437321189",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in West Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.