Wellformed AI

NPI 1689160244 · live from the CMS NPI Registry

Haley Katherine Boge

Behavior Analyst in Portland, OR. National Provider Identifier 1689160244, active.

NPI record

NPI1689160244 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location125 Ne 102nd Ave, Portland, OR 97220
Practice phone503-254-6317
Mailing address21600 Oxnard St Ste 1800, Woodland Hills, CA 91367
EnumeratedJuly 7, 2018
Last updatedJuly 7, 2018
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X—

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