NPI 1275169799 · live from the CMS NPI Registry
Autism Partners (Northwest) INC
Behavior Analyst in Portland, OR. National Provider Identifier 1275169799, active.
NPI record
| NPI | 1275169799 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 220 Nw 8th Ave, Portland, OR 97209 |
| Practice phone | 503-447-8770 |
| Mailing address | 49 Pier Ave Ste B, Hermosa Beach, CA 90254 |
| Enumerated | March 16, 2020 |
| Last updated | March 16, 2020 |
| Authorized official | Jason Gray, Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.