| NPI | 1275288920 |
|---|---|
| Doing Business As | FOUNTAIN BEHAVIORAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | ELISE FELICIO Owner 701-389-9363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 235Z00000X Speech-Language Pathologist, | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2022-02-21 |
| Last Update Date | 2023-12-08 |