Hailey Kristine Otte
Individual provider Active NPI Behavior Technician · Fargo, ND
NPI 1972364677 · NPPES record last updated May 17, 2024
Key facts
- NPI
- 1972364677
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-24-322486
- Practice address
- 4215 31St Ave S Ste a
Fargo, ND 58104-7743 - Phone
- (701) 478-0221
- NPI assigned
- Jan 19, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Intervention Specialists, LLC | Current |
Accepting new patients |
Locations
4215 31st Ave S
Ste A
Fargo, ND 58104
Phone (701) 478-0221
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Behavior Technician | 106S00000X | RBT-24-322486 | Yes |
Addresses
Primary practice location
4215 31St Ave S Ste a
Fargo, ND 58104-7743
Mailing address
504 7TH St NE
Dilworth, MN 56529-1103
Phone (701) 552-0753
Other providers in Fargo, ND
- Rachel Ostlund
- Manuel R Otero-Cagide
- Jace R Otremba
- Amy Jane Ott
- Connor Charles Ott
- Ronovan Lavaine Ottenbacher
- Angela M Ottesen
- Jeremiah Otteson
- Dana Ottmar
- Jasmine Ottmar
All providers in Fargo, ND · Behavior Technician 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 May 17, 2024. 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.