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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