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Organization
ELISE FELICIO BEHAVIOR AND EDUCATION SERVICES PLLC
Active
Organization
ELISE FELICIO BEHAVIOR AND EDUCATION SERVICES PLLC
Active
Other names
Fountain Behavioral Services
Organization subpart
No
Provider details
NPI number
Authorized official
ELISE FELICIO BCBA, LBA (OWNER)
(701) 389-9363
Entity
Organization
Contact information
Practice address
100 MAIN ST S, MINOT, ND 58701-3914
(701) 839-9363
(855) 955-1279
Mailing address
100 MAIN ST S, MINOT, ND 58701-3914
(701) 839-9363
(855) 955-1279
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1480822
—
ND
Enumeration date
02/21/2022
Last updated
12/08/2023
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