Nawar Ismail
Individual provider Active NPI Behavior Analyst · Fargo, ND
NPI 1972169803 · NPPES record last updated Dec 5, 2023
Key facts
- NPI
- 1972169803
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- L122 (ND)
- Practice address
- 3120 25TH St S Ste 340Z
Fargo, ND 58103-6110 - Phone
- (701) 630-8795
- NPI assigned
- May 16, 2019
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L122 | ND | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | L122 | ND | Yes |
Addresses
Primary practice location
3120 25TH St S Ste 340Z
Fargo, ND 58103-6110
Mailing address
3120 25TH St S Ste 340Z
Fargo, ND 58103-6110
Phone (701) 630-8795
Other practice location 1
647 13th Ave E
West Fargo, ND 58078-3328
Phone (701) 277-8844 ext. 70127
Other providers in Fargo, ND
- Karis Antonia Stenback Irving
- Kayli Irvis
- Christine M Isaak
- Jayme Isakson
- Giselle Ishimwe
- Sarah Marie Israel
- Abdirahman Adan Issack
- Saido Issack
- Siraj Issak
- Its a Part of PLLC
All providers in Fargo, 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 Dec 5, 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.