Fountain Behavioral Services is a
Behavior Analyst based in Minot, North Dakota. Fountain Behavioral Services is licensed to practice in * (Not Available) (license number ) and their current practice location is
100 Main St S, Minot, North Dakota. It can be reached at their office (for appointments etc.) via phone at
(701) 839-9363.
NPI number for Fountain Behavioral Services is 1275288920 and their current mailing address is 100 Main St S, Minot, North Dakota. Fountain Behavioral Services
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1275288920.
Healthcare Provider's Profile
| Full Name | Fountain Behavioral Services |
|---|
| Type | Facility |
|---|
| Speciality | Behavior Analyst |
|---|
| Location | 100 Main St S, Minot, North Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1275288920
- Provider Enumeration Date: 02/21/2022
- Last Update Date: 12/08/2023
Medical Identifiers
Medical identifiers for Fountain Behavioral Services such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275288920 | NPI | - | NPPES |
| 1480822 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 261QX0100X | Clinic/center - Occupational Medicine | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fountain Behavioral Services is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Fountain Behavioral Services
100 Main St S,
Minot, ND 58701-3914
Ph: (701) 839-9363 | Fountain Behavioral Services
100 Main St S,
Minot, ND 58701-3914
Ph: (701) 839-9363 |
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