Wellformed AI

NPI 1689157828 · live from the CMS NPI Registry

Miriam Arellano, BCBA

Behavior Analyst in Portland, OR. National Provider Identifier 1689157828, active.

NPI record

NPI1689157828 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location7800 Sw Barbur Blvd Bldg 2, Portland, OR 97219
Practice phone818-241-6780
Mailing address1055 E Colorado Blvd Ste 560, Pasadena, CA 91106
EnumeratedSeptember 13, 2018
Last updatedOctober 6, 2020
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X10210455 (OR)
Behavior Technician106S00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.