IndividualActive
Jelisa Phillippi
NPI 1316475908 · Behavior Analyst · Fargo, ND
Provider details
- NPI number
- 1316475908
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Specialist174400000X
Other Service Providers
Practice location
112 University Dr N Ste 300
Fargo, ND 58102-4661
Phone: (701) 388-9345
Approximate (ZIP-level) locationGet directions
Mailing address
112 University Dr N Ste 300
Fargo, ND 58102-4661
Registry dates
- Enumerated
- 2017-05-26
- Last updated
- 2020-04-21
- Certified
- 2020-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.