Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316475908 Individual Practitioner Female Practitioner

Jelisa Phillippi

Behavior Analyst • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Jelisa Phillippi is a registered healthcare professional specializing in Behavior Analyst in Fargo, ND. Practice services are available at 112 UNIVERSITY DR N STE 300 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

112 University Dr N Ste 300

Fargo, ND 581024661

Telephone 7013889345
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
36 Specialists

Practicing in Fargo, ND (100 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-04-21
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License None 1-17-28640

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Specialist

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Behavior Analyst Certification Board
1-17-28640

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1053692020

Doctor of Philosophy (Ph.D.)

NPI 1306149323

Licensed Professional Clinical Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 21, 2020

Registered at 112 UNIVERSITY DR N STE 300, FARGO, ND 581024661 (Tel: 7013889345)

📍
Updated Business Mailing Address April 21, 2020

Registered at 112 UNIVERSITY DR N STE 300, FARGO, ND 581024661 (Tel: 7013889345)

NPI Profile Active May 26, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 26, 2017

Registered at 891 BELSLY BLVD, MOORHEAD, MN 565605055 (Tel: (218) 287-4338)

📍
Updated Business Mailing Address May 26, 2017

Registered at 891 BELSLY BLVD, MOORHEAD, MN 565605055 (Tel: 2182874338)

👤
Provider Name / Credentials Updated May 26, 2017

Recorded as JELISA PHILLIPPI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2017

Specialist

🟢
Initial NPI Registration & Enumeration May 26, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316475908
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 26, 2017
Last Update: April 21, 2020
Sole Proprietor: Yes

Mailing Address

112 University Dr N Ste 300

Fargo, ND 581024661

Phone: 7013889345

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.