NPI 1093511255 · live from the CMS NPI Registry
Behavioral Imprints LLC
Behavior Analyst in Beaverton, OR. National Provider Identifier 1093511255, active.
NPI record
| NPI | 1093511255 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 14765 Sw Wheaton Ln, Beaverton, OR 97007 |
| Practice phone | 971-425-1014 |
| Enumerated | February 19, 2025 |
| Last updated | August 5, 2026 |
| Authorized official | Alexandra Mccallen, Ceo/Owner/Bcba |
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.