NPI 1265989602 · live from the CMS NPI Registry
Gianna Bargetto
Behavior Analyst in Portland, OR. National Provider Identifier 1265989602, active.
NPI record
| NPI | 1265989602 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 4724 Sw Macadam Ave Bldg Bridges, Portland, OR 97239 |
| Practice phone | 503-235-3122 |
| Mailing address | 402 Se 31st Ave, Portland, OR 97214 |
| Enumerated | September 1, 2016 |
| Last updated | September 1, 2016 |
| Sole proprietor | No |
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.