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

Jack Jonathan Worm

Individual provider Behavior Technician · NPI 1457227571

Jack Jonathan Worm is a Behavior Technician in Fargo, North Dakota. Licensed in North Dakota. Registered with an NPI since 2025.

Licensed in
ND
In the registry since
2025

Practice location Address checks out

4152 30th Ave S
Fargo, ND 58104-8524
Phone: (701) 364-2663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (ND)

Record details

NPI number1457227571
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 15, 2025
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025
Mailing address701 3rd St Nw, Jamestown, ND 58401-2963

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