NEVIN FETZER (NPI# 1346865086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346865086 |
| Entity Type | Individual |
| Full Name | NEVIN FETZER |
| Practice Address |
647 13th Ave E West Fargo ND 58078-3328 |
| Practice Telephone | 7012778844 |
| Mailing Telephone | 7012778844 |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
647 13TH AVE E |
| City | WEST FARGO |
| State | ND |
| Zip Code | 58078-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104081116 | North Dakota Autism Center, Inc | Behavioral Analyst | 647 13th Ave E, Ste A, West Fargo, ND 58078-3328 | 2008-07-20 |
| 1265041404 | Brian Kauffman | Behavior Technician | 647 13th Ave E, West Fargo, ND 58078-3328 | 2020-07-23 |
| 1982213112 | Madeline Wickoren | Behavior Technician | 647 13th Ave E, West Fargo, ND 58078-3328 | 2020-07-23 |
| 1154930303 | Sarah Rohr | Behavior Technician | 647 13th Ave E, West Fargo, ND 58078-3328 | 2020-07-23 |
| 1558970798 | Hannah Jensen | Behavior Technician | 647 13th Ave E, West Fargo, ND 58078-3328 | 2020-07-23 |
| 1346866159 | Megan Berginski | Behavior Technician | 647 13th Ave E, West Fargo, ND 58078-3328 | 2020-06-18 |
| 1801412614 | Mariah Almklov | Behavior Technician | 647 13th Ave E, West Fargo, ND 58078-3328 | 2020-06-18 |
| 1306461025 | Chloe Lear | Behavior Technician | 647 13th Ave E, West Fargo, ND 58078-3328 | 2020-06-09 |
| 1831714575 | Jennifer Petrock | Behavior Technician | 647 13th Ave E, West Fargo, ND 58078-3328 | 2020-06-09 |
| 1316569288 | Ariel Iglehart | Behavior Technician | 647 13th Ave E, West Fargo, ND 58078-3328 | 2020-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205068 | Ashley Kasson Therapy | Counselor | 3220 4th St E, West Fargo, ND 58078 | 2020-11-04 |
| 1427658624 | Deedee (dorin) Ngwe | Technician | 3240 9th S West Apt. 204, West Fargo, ND 58078 | 2020-10-27 |
| 1053879734 | Mpnd,inc | Pharmacy | 2050 Sheyenne Street, West Fargo, ND 58078 | 2019-03-12 |
| 1396239216 | Luke Gable | Behavior Technician | 647 13th Avenue South, West Fargo, ND 58078 | 2018-06-15 |
| 1629597919 | Cody Freng | Specialist/Technologist | 3276 9th St W Apt C, West Fargo, ND 58078 | 2017-09-18 |
| 1831613942 | Lauren Phyllis Loe | Physical Therapist | 1401 13th Avenue East, Essentia Health West Fargo Clinic, West Fargo, ND 58078 | 2017-07-31 |
| 1851746226 | Jodi Kilen | Occupational Therapy Assistant | 631 4th Ave East, West Fargo, ND 58078 | 2016-05-04 |
| 1922490101 | Betty Ann Helmer | Social Worker | 2355 Meadow Ridge Parkway, West Fargo, ND 58078 | 2015-02-25 |
| 1477972784 | Tessa Nicole Larson | Occupational Therapist | 3139 Bluestem Dr Ste 108, West Fargo, ND 58078 | 2014-04-15 |
| 1023432010 | Kaylyn Kortes | Licensed Practical Nurse | 1302 Sheyenne St, West Fargo, ND 58078 | 2014-02-11 |
| Find all providers in zip 58078 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396239216 | Luke Gable | Behavior Technician | 647 13th Avenue South, West Fargo, ND 58078 | 2018-06-15 |
| 1396243721 | Mackenna Bachmeier | Behavior Technician | 647 13th Ave E Ste E, West Fargo, ND 58078-3328 | 2018-01-31 |
| 1265041404 | Brian Kauffman | Behavior Technician | 647 13th Ave E, West Fargo, ND 58078-3328 | 2020-07-23 |
| 1982213112 | Madeline Wickoren | Behavior Technician | 647 13th Ave E, West Fargo, ND 58078-3328 | 2020-07-23 |
| 1154930303 | Sarah Rohr | Behavior Technician | 647 13th Ave E, West Fargo, ND 58078-3328 | 2020-07-23 |
| 1558970798 | Hannah Jensen | Behavior Technician | 647 13th Ave E, West Fargo, ND 58078-3328 | 2020-07-23 |
| 1346866159 | Megan Berginski | Behavior Technician | 647 13th Ave E, West Fargo, ND 58078-3328 | 2020-06-18 |
| 1801412614 | Mariah Almklov | Behavior Technician | 647 13th Ave E, West Fargo, ND 58078-3328 | 2020-06-18 |
| 1306461025 | Chloe Lear | Behavior Technician | 647 13th Ave E, West Fargo, ND 58078-3328 | 2020-06-09 |
| 1831714575 | Jennifer Petrock | Behavior Technician | 647 13th Ave E, West Fargo, ND 58078-3328 | 2020-06-09 |
| Find all providers in WEST FARGO | ||||
| City | WEST FARGO |
| Zip Code | 58078 |
Please comment or provide details below to improve the information on NEVIN FETZER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.