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

Jacob Thompson

Individual provider Behavior Technician · NPI 1174220081

Jacob Thompson is a Behavior Technician in Fargo, North Dakota. Registered with an NPI since 2023.

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

Record details

NPI number1174220081
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 10, 2023
Last updated in NPPESFebruary 10, 2023
Certification dateFebruary 10, 2023
Mailing address4152 30th Ave S, Fargo, ND 58104-8524

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