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

Libby Faith Medenwald

Individual provider Behavior Technician · NPI 1629775994

Libby Faith Medenwald is a Behavior Technician in Fargo, North Dakota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

4342 15th Ave S Ste 105
Fargo, ND 58103-1125
Phone: (701) 936-9495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Behavior Technician Taxonomy 106S00000X (MN)

Record details

NPI number1629775994
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 8, 2023
Last updated in NPPESFebruary 17, 2025
Certification dateFebruary 17, 2025

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