Fountain Behavioral Services

LBN: Elise Felicio Behavior And Education Services Pllc
Fountain Behavioral Services is an health care organization with primary practice located at 100 Main St S , Minot ND 58701-3914. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Ambulatory Health Care Facilities / Occupational Medicine. Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty. Elise Felicio Behavior And Education Services Pllc can be contacted via phone (701) 839-9363, or through Felicio, Elise via phone (701) 389-9363.

Contact Information

Primary practice address
100 Main St S Minot ND 58701-3914
Phone: (701) 839-9363
Fax: (855) 955-1279
Website:
Map and Directions
Authorized official contact:
Name: Felicio, Elise BCBA, LBA
Phone: (701) 389-9363

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Ambulatory Health Care Facilities / Occupational Medicine 261QX0100X

Profile Details

NPI number 1275288920
LBN Legal business name Elise Felicio Behavior And Education Services Pllc
DBA Doing business as Fountain Behavioral Services
Authorized official Felicio, Elise BCBA, LBA
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2022
Last updated Dec 8th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275288920 NPPES
North Dakota MEDICAID 1480822

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