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

Grace Nicole Names

Individual provider Behavior Technician · NPI 1124694609

Grace Nicole Names is a Behavior Technician in Fargo, North Dakota. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

4152 30th Ave S
Fargo, ND 58104-8524
Phone: (320) 424-9779
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 number1124694609
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 3, 2021
Last updated in NPPESJune 3, 2021
Certification dateJune 3, 2021
Mailing address3108 5th St S Apt.21, Moorhead, MN 56560

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