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ELISE FELICIO BEHAVIOR AND EDUCATION SERVICES PLLC NPI 1275288920


NPI Information

NPI: 1275288920
Provider Name: ELISE FELICIO BEHAVIOR AND EDUCATION SERVICES PLLC

Doing Business As: FOUNTAIN BEHAVIORAL SERVICES

Classification: Behavior Analyst - 103K00000X
Entity Type: Organization
Address:
100 MAIN ST S
MINOT, ND
ZIP 58701
Phone: (701) 839-9363
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ELISE FELICIO BEHAVIOR AND EDUCATION SERVICES PLLC is a behavior analyst in Minot, ND. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. ELISE FELICIO BEHAVIOR AND EDUCATION SERVICES PLLC NPI is 1275288920. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Fountain Behavioral Services.

The provider's business location address is:

100 MAIN ST S
MINOT, ND
ZIP 58701-914
Phone: (701) 839-9363
Fax: (855) 955-1279

The provider's authorized official is Elise Felicio .
The authorized official title is Owner and has the following contact phone number (701) 389-9363.

The enumeration date for this NPI number is 2/21/2022 and was last updated on 12/8/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106S00000XBehavior TechnicianNo
2235Z00000XSpeech-Language PathologistNo
3261QX0100XClinic/CenterOccupational MedicineNo
4103K00000XBehavior AnalystYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11480822MEDICAIDNORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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