NPI 1023521077

Jon Kristian Rossum

Practitioner Behavior Technician West Fargo, ND

Practice location

Address: 647 13th Ave E STE a, West Fargo, ND 58078-3328
Phone: (701) 277-8844
Mailing address: 2915 Bluestem Dr APT 1180, West Fargo, ND 58078-8039

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in North Dakota →

Registry record

NPI: 1023521077
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Nov 2017
Record last updated: 13 Nov 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.