NPI 1164283487

Alyssa Gardner

Practitioner Specialist West Fargo, ND

Practice location

Address: 1520 2nd Ave NW # West, West Fargo, ND 58078-1161
Phone: (218) 287-4338
Mailing address: 1547 30th Ave S, Moorhead, MN 56560-5149

Registered specialties (2)

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1164283487
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jan 2024
Record last updated: 17 Sep 2025

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.