Individual provider Active NPI

Naomi Mielke, BCBA

  • Behavior Analyst
  • Fargo, ND
National Provider Identifier
1982373114
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
L146 Issued in ND
Practice address
4342 15TH Ave S Ste 105
Fargo, ND 58103-1125
Phone
(701) 936-9495
NPI assigned
Sep 10, 2021
Last updated
Dec 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X L146 ND Primary
Behavior Technician 106S00000X MN

Addresses

Primary practice location

4342 15TH Ave S Ste 105
Fargo, ND 58103-1125

Mailing address

4342 15TH Ave S Ste 105
Fargo, ND 58103-1125
Phone (701) 936-9495

Other names 1

  • Naomi Zimmerman Former name

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

State licenses

LicenseStateTypeSpecialty
L146NDMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Embrace Therapy Services CurrentSince Dec 21, 2025 Accepting new patients

Locations

4342 15th Ave S
Ste 105
Fargo, ND 58103
Phone (701) 936-9495

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1982373114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4342 15TH AVE S STE 105",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031125",
            "telephone_number": "701-936-9495",
            "fax_number": "701-936-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4342 15TH AVE S STE 105",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031125",
            "telephone_number": "701-936-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIELKE",
        "first_name": "NAOMI",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "ND",
            "license": "L146",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAOMI",
            "last_name": "ZIMMERMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.