NPI 1174015655 · live from the CMS NPI Registry
Amanda Jaclyn Brachfeld, BCBA
Behavior Analyst in Portland, OR. National Provider Identifier 1174015655, active.
NPI record
| NPI | 1174015655 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 121 Sw Salmon St, Portland, OR 97204 |
| Practice phone | 855-832-6727 |
| Mailing address | 7108 S Kanner Hwy, Stuart, FL 34997 |
| Enumerated | May 31, 2018 |
| Last updated | February 8, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-22-63456 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.