NPI 1285312892 · live from the CMS NPI Registry
Autism Allyz LLC
Behavior Analyst in Portland, OR. National Provider Identifier 1285312892, active.
NPI record
| NPI | 1285312892 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 17141 Se Market St, Portland, OR 97233 |
| Practice phone | 508-826-0633 |
| Enumerated | July 5, 2023 |
| Last updated | July 5, 2023 |
| Authorized official | Victor Rie, 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.