NPI 1144780552 · live from the CMS NPI Registry
Eric Lee Allen
Behavior Analyst in Gresham, OR. National Provider Identifier 1144780552, active.
NPI record
| NPI | 1144780552 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 912 Ne Kelly Ave, Gresham, OR 97030 |
| Practice phone | 503-912-5502 |
| Mailing address | 912 Ne Kelly Ave Ste 100, Gresham, OR 97030 |
| Enumerated | March 21, 2019 |
| Last updated | March 21, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.