NPI 1629361670 · live from the CMS NPI Registry
John Brochis, QMHA
Behavior Analyst in Tigard, OR. National Provider Identifier 1629361670, active.
NPI record
| NPI | 1629361670 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 10313 Sw 69th Ave, Tigard, OR 97223 |
| Practice phone | 503-597-3902 |
| Enumerated | May 24, 2011 |
| Last updated | May 24, 2011 |
| 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.