NPI 1215300843
Jordan David Lill
Practice location
- Address
- 3401 45th St S, Fargo, ND 58104-8970
- Phone
- (701) 356-4384
Registered specialties (3)
Behavior Analyst
Primary
Mental Health Counselor
Behavior Analyst
Registry record
- NPI
- 1215300843
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 Nov 2015
- Record last updated
- 14 Apr 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.