NPI 1336606755 · live from the CMS NPI Registry
Aba Of Portland Corp.
Behavior Analyst in Milwaukie, OR. National Provider Identifier 1336606755, active.
NPI record
| NPI | 1336606755 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 11304 Se 35th Ave, Milwaukie, OR 97222 |
| Practice phone | 786-569-3941 |
| Enumerated | February 21, 2019 |
| Last updated | February 21, 2019 |
| Authorized official | Igor Bruzual, President |
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.