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

Addisyn Kristine Douty

Individual provider Behavior Technician · NPI 1710660667

Addisyn Kristine Douty is a Behavior Technician in Fargo, North Dakota. Licensed in North Dakota. Registered with an NPI since 2023.

Licensed in
ND
In the registry since
2023

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 (ND)

Record details

NPI number1710660667
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 8, 2023
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023

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