JACK JONATHAN WORM
NPI 1457227571
Behavior Technician in Fargo, ND
About Jack Jonathan Worm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK JONATHAN WORM (NPI 1457227571) is an individual behavior technician in Fargo, North Dakota and active in the NPI registry since October 2025.
NPPES Registry Identity
Specialties & Licenses
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.
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 Jack Worm's NPI number?
The NPI number for Jack Worm is 1457227571. It was assigned to this individual provider in the NPPES registry on October 15, 2025.
Where is Jack Worm located?
Jack Worm practices at 4152 30th Ave S, Fargo, ND 58104. The listed phone number is (701) 364-2663.
What is Jack Worm's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Jack Worm was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.