NPI 1508455650 · live from the CMS NPI Registry
Avian Paige Brown
Behavior Technician in Bend, OR. National Provider Identifier 1508455650, active.
NPI record
| NPI | 1508455650 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Technician 106S00000X |
| Practice location | 1550 Ne Williamson Blvd Ste 120, Bend, OR 97701 |
| Practice phone | 541-640-5601 |
| Mailing address | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367 |
| Enumerated | January 13, 2021 |
| Last updated | January 13, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | RBT-18-69993 (CA) |
| Behavior Technician primary | 106S00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.