NPI 1578811808 · live from the CMS NPI Registry
Kathryn Borninski
Behavior Analyst in Corvallis, OR. National Provider Identifier 1578811808, active.
NPI record
| NPI | 1578811808 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 4455 Ne Highway 20, Corvallis, OR 97330 |
| Practice phone | 503-234-9591 |
| Mailing address | 3415 Se Powell Blvd, Portland, OR 97202 |
| Enumerated | August 16, 2012 |
| Last updated | August 16, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.