LARISSA ISABELLE FOSSUM BEHAVIORAL TECH
NPI 1487438081
Behavior Technician in Duluth, MN

Active since August 23, 2023
101 W 2ND ST, DULUTH, MN 55802(218) 724-3122(833) 933-0639 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Larissa Isabelle Fossum Behavioral Tech NPPES

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

LARISSA ISABELLE FOSSUM BEHAVIORAL TECH (NPI 1487438081) is an individual behavior technician in Duluth, Minnesota and active in the NPI registry since August 2023. She maintains a secondary practice location in Two Harbors.

NPPES Registry Identity

NPI1487438081
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameLARISSA ISABELLE FOSSUMCredential: BEHAVIORAL TECH
Location Address101 W 2ND STDuluth, MN 55802-2086
Mailing Address101 W 2nd StDuluth, MN 55802-2086 · (218) 724-3122 · Fax (833) 933-0639
Fax(833) 933-0639
Sole ProprietorNo
Enumeration DateAugust 23, 2023
NPPES CertifiedAugust 23, 2023
NPI 1487438081 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.

101 W 2ND ST, Duluth, MN 55802

Secondary Practice Location 1

Location 1115 7th StTwo Harbors, MN 55616-1528 · Phone (218) 834-6005 · Fax (833) 933-0639

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.

Counselor (Mental Health)
101 W 2ND ST
DULUTH, MN 55802
Social Worker (Clinical)
101 W 2ND ST
DULUTH, MN 55802
Social Worker (Clinical)
101 W 2ND ST
DULUTH, MN 55802
Social Worker (Clinical)
101 W 2ND ST
DULUTH, MN 55802
Counselor (Professional)
101 W 2ND ST
DULUTH, MN 55802
Counselor (Professional)
101 W 2ND ST
DULUTH, MN 55802
Counselor (Mental Health)
101 W 2ND ST
DULUTH, MN 55802
Counselor (Mental Health)
101 W 2ND ST
DULUTH, MN 55802

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487438081, enumerated as an "individual" on August 23, 2023.

The provider is located at 101 W 2ND ST DULUTH, MN 55802 and the phone number is (218) 724-3122.

Behavior Technician with taxonomy code 106S00000X.