North Dakota saw 29 behavioral health providers in the latest CMS NPI registry update, with 9 new enrollments this week. Representing 0% of the national weekly total, this indicates a small but steady growth in a state with a lower population density. Of these, 17 were individual providers and 12 were organizations.
Credential Mix and Supervision Capacity
The credential mix in North Dakota reflects a broad range of behavioral health professions, but a very limited presence for ABA-specific roles. The data shows 1 Registered Behavior Technician (RBT) and 0 Board Certified Behavior Analysts (BCBAs), with no providers holding dual BCBA and RBT credentials. This stark absence of BCBAs, who are essential for supervising RBTs, signals a significant challenge for the development and expansion of ABA services in the state. Other listed credentials include 2 Licensed Professional Clinical Counselors (LPCC), 1 Licensed Master Social Worker (LMSW), 1 Speech-Language Pathologist, 1 Psychologist (Psy.D.), 1 Licensed Clinical Social Worker (LCSW), 1 Psychologist (PhD), and 1 Licensed Addiction Counselor (LAC). The diversity of these other credentials suggests a focus on broader mental health and counseling services rather than specialized ABA.
Workforce Demographics and Trends
Among the individual providers, the workforce is predominantly female, with 15 individuals (88%) identifying as female and 2 individuals (12%) as male. There were no nonbinary providers reported. No specific organizations appeared multiple times in this week's data. This demographic trend is consistent with many behavioral health fields. The current data suggests that while North Dakota is adding behavioral health professionals, the specific infrastructure for ABA services, particularly the critical BCBA supervision layer, remains underdeveloped, posing a barrier to increasing ABA access for residents.
