NPI 1366016511 · live from the CMS NPI Registry
Josefa Bautista Zacarias
Behavior Analyst in Portland, OR. National Provider Identifier 1366016511, active.
NPI record
| NPI | 1366016511 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 16540 Se Haig Dr, Portland, OR 97236 |
| Practice phone | 503-422-8349 |
| Enumerated | May 13, 2021 |
| Last updated | May 13, 2021 |
| 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.