Individual provider · Type 1 NPI

Myah Bolluyt

Behavior Technician · Fargo, ND

NPI number 1982539375 Active

Practice location

4152 30th Ave S
Fargo, ND 58104-8524

Call (701) 364-2663 Map

Mailing address

2200 20th St SW
Jamestown, ND 58401-7500

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1982539375

Myah Bolluyt's National Provider Identifier is 1982539375, issued on Jun 16, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Fargo, ND. The record was last updated on Jun 16, 2026.