NPI 1073166732 · live from the CMS NPI Registry
Jessica Bilodeau
Behavior Analyst in Portland, OR. National Provider Identifier 1073166732, active.
NPI record
| NPI | 1073166732 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 9115 Sw Oleson Rd Ste 100, Portland, OR 97223 |
| Practice phone | 510-268-8120 |
| Mailing address | Po Box 1572, Longview, WA 98632 |
| Enumerated | July 22, 2019 |
| Last updated | January 26, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | 1-23-70358 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.