Addison Roller

Behavior Technician · Fargo, ND

Individual Active NPI

NPI number 1104746676

Practice location

4152 30TH Ave S
Fargo, ND 58104-8524
Phone
(701) 364-2663

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NPI record

NPI
1104746676
Entity type
Individual (Type 1)
Enumeration date
July 16, 2026
Last updated
July 16, 2026
Certified
July 16, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

About Addison Roller

Addison Roller is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 4152 30TH Ave S, Fargo, ND 58104-8524. The NPI number 1104746676 was assigned on July 16, 2026 and the record was last updated on July 16, 2026.

Frequently asked questions

What is the NPI number of Addison Roller?

The NPI number is 1104746676.

What is the phone number of Addison Roller?

The phone number listed for the practice location is (701) 364-2663.

Where is Addison Roller located?

4152 30TH Ave S, Fargo, ND 58104-8524.

What is the taxonomy code for Addison Roller?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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