NPI 1316459928 · live from the CMS NPI Registry
Mckenzie Brendle
Behavior Analyst in Portland, OR. National Provider Identifier 1316459928, active.
NPI record
| NPI | 1316459928 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 3415 Se Powell Blvd, Portland, OR 97202 |
| Practice phone | 503-205-4366 |
| Enumerated | November 5, 2017 |
| Last updated | November 5, 2017 |
| 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.