Individual provider · Type 1 NPI

Alyssa Gardner

Specialist · West Fargo, ND

NPI number 1164283487 Active

Practice location

1520 2nd Ave NW # West
West Fargo, ND 58078-1161

Call (218) 287-4338 Map

Mailing address

1547 30th Ave S
Moorhead, MN 56560-5149

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed
Behavior Technician 106S00000XNone listed

Specialist: 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.

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About NPI 1164283487

Alyssa Gardner's National Provider Identifier is 1164283487, issued on Jan 23, 2024. The primary taxonomy on file is Specialist (174400000X), and the practice location is in West Fargo, ND. The record was last updated on Sep 17, 2025.