KINLEY JO NORDIN
NPI 1013669423
Behavior Technician in Fargo, ND

Active since January 26, 2022Accepts Medicare Assignment
4152 30TH AVE S, FARGO, ND 58104(701) 364-2663 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kinley Jo Nordin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KINLEY JO NORDIN (NPI 1013669423) is an individual behavior technician in Fargo, North Dakota and active in the NPI registry since January 2022. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1013669423
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameKINLEY JO NORDIN
Location Address4152 30TH AVE SFargo, ND 58104-8524
Mailing Address4152 30th Ave SFargo, ND 58104-8524 · (701) 364-2663
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 26, 2022
NPPES CertifiedJanuary 26, 2022
NPI 1013669423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
4152 30TH AVE S, Fargo, ND 58104

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kinley Jo Nordin is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850895939
PECOS Enrollment IDI20250920000737

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
4152 30TH AVE S
FARGO, ND 58104
Speech-Language Pathologist
4152 30TH AVE S
FARGO, ND 58104
Behavior Technician
4152 30TH AVE S
FARGO, ND 58104
Behavior Technician
4152 30TH AVE S
FARGO, ND 58104
Behavior Technician
4152 30TH AVE S
FARGO, ND 58104
Speech-Language Pathologist
4152 30TH AVE S
FARGO, ND 58104
Behavior Technician
4152 30TH AVE S
FARGO, ND 58104
Behavior Technician
4152 30TH AVE S
FARGO, ND 58104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kinley Nordin's NPI number?

The NPI number for Kinley Nordin is 1013669423. It was assigned to this individual provider in the NPPES registry on January 26, 2022.

Where is Kinley Nordin located?

Kinley Nordin practices at 4152 30th Ave S, Fargo, ND 58104. The listed phone number is (701) 364-2663.

What is Kinley Nordin's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

Is Kinley Nordin enrolled in Medicare?

Yes. Kinley Nordin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kinley Nordin was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.