IndividualActive
Jack Worm
NPI 1457227571 · Behavior Technician · Fargo, ND
Jack Worm is a Behavior Technician provider in Fargo, ND (NPI 1457227571).
Provider details
- NPI number
- 1457227571
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4152 30th Ave S
Fargo, ND 58104-8524
Phone: (701) 364-2663
Street-level locationGet directions
Mailing address
701 3rd St Nw
Jamestown, ND 58401-2963
Registry dates
- Enumerated
- 2025-10-15
- Last updated
- 2025-10-15
- Certified
- 2025-10-15
Frequently asked questions
- What is Jack Worm's NPI number?
- Jack Worm's National Provider Identifier (NPI) is 1457227571, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Worm's specialty?
- Jack Worm is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jack Worm located?
- Jack Worm's practice location on file with NPPES is 4152 30th Ave S, Fargo, ND 58104-8524.
- What is Jack Worm's phone number?
- The practice phone number listed in the NPPES registry for Jack Worm is (701) 364-2663.
- Is Jack Worm's NPI active?
- Yes — Jack Worm's NPI (1457227571) is active in the NPPES registry as of the last update on 2025-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.