NPI 1114793247 · live from the CMS NPI Registry
Patrick Brennan
Behavior Analyst in Portland, OR. National Provider Identifier 1114793247, active.
NPI record
| NPI | 1114793247 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 2800 Sw Peaceful Ln, Portland, OR 97239 |
| Practice phone | 503-516-9085 |
| Enumerated | November 29, 2023 |
| Last updated | November 29, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | ABA-IN-10235492 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.