Shelby Chase
Individual provider Active NPI Behavior Technician · Fargo, ND
NPI 1992212989 · NPPES record last updated Aug 5, 2019
Key facts
- NPI
- 1992212989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 3401 45TH St S
Fargo, ND 58104-8970 - Phone
- (701) 356-4384
- NPI assigned
- Dec 29, 2017
- 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 |
|---|---|---|---|
| Pediatric Therapy Partners, Inc. | Behavior Technician | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
3401 45TH St S
Fargo, ND 58104-8970
Mailing address
3401 45TH St S
Fargo, ND 58104-8970
Phone (701) 356-4384
Other practice location 1
3060 Frontier Way S
Fargo, ND 58104-8909
Phone (701) 356-4384
Other providers in Fargo, ND
- Mercedes Charette
- Darya Charkes
- Charles I Benjamin MD PC
- Carl Charley
- Justin N Chase
- Cody Chathams
- Sandipkumar Sevantibhai Chaudhari
- Sudhir K Chavour
- Safia Hope Cheeney
- Virginia Chefor
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 Aug 5, 2019. 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.