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

Individual provider Behavior Technician · NPI 1487438081

Larissa Isabelle Fossum, BEHAVIORALTECH is a Behavior Technician in Duluth, Minnesota. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

101 W 2nd St
Duluth, MN 55802-2086
Phone: (218) 724-3122
Fax: (833) 933-0639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 115 7th St, Two Harbors, MN 55616-1528 — (218) 834-6005

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1487438081
Entity typeIndividual (Type 1)
GenderFemale
Credentials BEHAVIORALTECH
Sole proprietorNo
NPI enumeratedAugust 23, 2023
Last updated in NPPESAugust 23, 2023
Certification dateAugust 23, 2023

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