NPI 1255843371 · live from the CMS NPI Registry
Adelaide Ball, MA, BCBA, LBA-OR/TX
Behavior Analyst in Gresham, OR. National Provider Identifier 1255843371, active.
NPI record
| NPI | 1255843371 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 912 Ne Kelly Ave, Gresham, OR 97030 |
| Practice phone | 855-772-8847 |
| Mailing address | 1635 Se Spokane St, Portland, OR 97202 |
| Enumerated | October 30, 2017 |
| Last updated | November 4, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
| Behavior Technician | 106S00000X | RBT-17-43008 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.