Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Addison Roller

Individual provider Behavior Technician · NPI 1104746676

Addison Roller is a Behavior Technician in Fargo, North Dakota. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

4152 30th Ave S
Fargo, ND 58104-8524
Phone: (701) 364-2663
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1104746676
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedJuly 16, 2026
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026
Mailing address4152 30th Ave S, Fargo, ND 58104-8524

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