NPI 1053970947 · live from the CMS NPI Registry
Jackson Bramhall
Behavior Analyst in Portland, OR. National Provider Identifier 1053970947, active.
NPI record
| NPI | 1053970947 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 9115 Sw Oleson Rd Ste 100, Portland, OR 97223 |
| Practice phone | 971-236-0915 |
| Mailing address | 4117 Sw Vermont St, Portland, OR 97219 |
| Enumerated | June 13, 2019 |
| Last updated | June 13, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.