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NORTH DAKOTA AUTISM CENTER, INC
NPI 1104081116
Clinic/Center - Adolescent and Children Mental Health in West Fargo, ND

Active since July 20, 2008
647 13TH AVE E, STE A, WEST FARGO, ND 58078(701) 277-8844(701) 277-8847 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 23, 2024, Sep 14, 2017, Mar 1, 2017 (3 updates tracked since 2017).

About North Dakota Autism Center, Inc NPPES

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

NORTH DAKOTA AUTISM CENTER, INC (NPI 1104081116) is a healthcare organization registered as an adolescent and children mental health in West Fargo, North Dakota and active in the NPI registry since July 2008. The organization lists Miranda Marum, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1104081116
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameNORTH DAKOTA AUTISM CENTER, INC
Location Address647 13TH AVE E, STE AWest Fargo, ND 58078-3328
Mailing Address647 13th Ave E, Ste AWest Fargo, ND 58078-3328 · (701) 277-8844 · Fax (701) 277-8847
Phone(701) 277-8844
Fax(701) 277-8847
Organization SubpartNo
Authorized OfficialMiranda MarumDirector Of Finance · (701) 532-4578
Enumeration DateJuly 20, 2008
Last NPPES UpdateSeptember 23, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
✔ NPI 1104081116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedAssistant Behavior AnalystTaxonomy 106E00000X
Also ListedOccupational Therapy AssistantTaxonomy 224Z00000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedPhysical Therapy AssistantTaxonomy 225200000X
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedSpecialist/Technologist · Speech-Language AssistantTaxonomy 2355S0801X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
647 13TH AVE E, West Fargo, ND 58078
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.Insurance ›

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.

MRS. ASHLEY FLYNN-PRIVETT M.S., BCBA
Behavior Analyst
647 13TH AVE E, A
WEST FARGO, ND 58078
Cass County (701) 277-8844
SHELBY LORENTZ
Behavior Technician
647 13TH AVE E
WEST FARGO, ND 58078
Cass County (701) 277-8844
MISS KRISTA MARIE RONNEVIK
Behavior Technician
647 13TH AVE E
WEST FARGO, ND 58078
Cass County (701) 277-8844
BRETT KEITH HETTENBAUGH
Behavior Technician
647 13TH AVE E
WEST FARGO, ND 58078
Cass County (218) 770-0459
ALEXANDRA GRANDBOIS BA
Behavior Technician
647 13TH AVE E
WEST FARGO, ND 58078
Cass County (701) 277-8844
SYDNEY DALE
Behavior Technician
647 13TH AVE E
WEST FARGO, ND 58078
Cass County (701) 277-8844
SAMANTHA SJULESTAD
Behavior Technician
647 13TH AVE E
WEST FARGO, ND 58078
Cass County (701) 277-8844
ABIGAIL BROWN
Behavior Technician
647 13TH AVE E
WEST FARGO, ND 58078
Cass County (701) 277-8844

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 North Dakota Autism Center, Inc's NPI number?

The NPI number for North Dakota Autism Center, Inc is 1104081116. It was assigned to this organization in the NPPES registry on July 20, 2008.

Where is North Dakota Autism Center, Inc located?

North Dakota Autism Center, Inc is located at 647 13th Ave E Ste A, West Fargo, ND 58078. The listed phone number is (701) 277-8844.

What is North Dakota Autism Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

What insurance does North Dakota Autism Center, Inc accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list North Dakota Autism Center, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for North Dakota Autism Center, Inc was last updated on September 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.