Jessie Allery, BCBA

Individual provider Active NPI Behavior Analyst · Minot, ND

NPI 1952142135 · NPPES record last updated Jun 3, 2024

Key facts

NPI
1952142135
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
L93 (ND)
Practice address
1324 20TH Ave SW Ste 2
Minot, ND 58701-6452
Phone
(701) 858-0009
NPI assigned
Jun 3, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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
L93NDMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Carlsen Center Behavior Analyst Past
since Jun 9, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X L93 ND Yes

Addresses

Primary practice location

1324 20TH Ave SW Ste 2
Minot, ND 58701-6452

Mailing address

701 3Rd St NW
Jamestown, ND 58401-2963
Phone (701) 368-1982

Other providers in Minot, ND

All providers in Minot, ND · Behavior Analyst in North Dakota

Sources for this page

Verify at the official NPI Registry.