NPI 1609533173 · live from the CMS NPI Registry
Elliott Anderson, BCBA
Behavior Analyst in Portland, OR. National Provider Identifier 1609533173, active.
NPI record
| NPI | 1609533173 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | One World Trade Center, 121 Southwest Salmon Street, 11th Floor, Portland, OR 97204 |
| Practice phone | 855-832-6727 |
| Mailing address | 7108 S Kanner Hwy, Stuart, FL 34997 |
| Enumerated | November 19, 2021 |
| Last updated | February 3, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 12155668 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.