ALYSSA GARDNER – NPI #1164283487
Behavior Technician

ALYSSA GARDNER is a behavior technician located in WEST FARGO, ND. NPPES recently assigned the NPI number 1164283487 to ALYSSA GARDNER on January 23, 2024. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 106S00000X from the Health Care Provider Taxonomy code set, which is classified as Behavior Technician.

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NPI Profile for
ALYSSA GARDNER

NPI Number
1164283487
Created

(about 5 weeks ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ALYSSA GARDNER
Primary location
1520 2ND AVE NW # WEST
WEST FARGO, ND 58078-1161
Phone: (218) 287-4338 Fax:
Mailing address
1547 30TH AVE S
MOORHEAD, MN 56560-5149
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Jan 23, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
106S00000X
- Behavior Technician (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.