JACK JONATHAN WORM
NPI 1457227571
Behavior Technician in Fargo, ND

Active since October 15, 2025
4152 30TH AVE S, FARGO, ND 58104(701) 364-2663 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1457227571
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameJACK JONATHAN WORM
Location Address4152 30TH AVE SFargo, ND 58104-8524
Mailing Address701 3rd St NwJamestown, ND 58401-2963 · (701) 364-2663
Sole ProprietorNo
Enumeration DateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
NPI 1457227571 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

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
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

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.