DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JELISA PHILLIPPI

Active Sole Proprietor

JELISA PHILLIPPI is a Behavior Analyst healthcare provider located in FARGO, North Dakota. NPI 1316475908 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · FARGO, ND

Registration Details

NPI Number
1316475908
Provider Type
Individual
Gender
Female
NPI Issued
May 26, 2017 (9.2366224336 yrs)
Last Updated
Apr 21, 2020
License
1-17-28640
Sole Proprietor
Yes

Practice Information

Address
112 UNIVERSITY DR N STE 300
FARGO, ND, 581024661
Browse ND providers · Browse ZIP 58102
Phone
7013889345
Primary Specialty
Behavior Analyst
103K00000X
Additional Specialty
Behavior Analyst

Other Behavior Analyst Providers in FARGO, ND

Name Credential NPI
MRS. CHELSEA NOEL EVENSTAD M.S., BCBA 1629319082
BRANDON GERMAIN 1871930651
CATHY WATERS LABA 1912325101
MARIE KAUHAKO 1629440359
LEXIE UNHJEM 1568834299
JORDAN DAVID LILL 1215300843
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.