Wellformed AI

NPI 1699102913 · live from the CMS NPI Registry

Eddie Brown

Behavior Analyst in Portland, OR. National Provider Identifier 1699102913, active.

NPI record

NPI1699102913 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location2020 Se Powell Blvd, Portland, OR 97202
Practice phone503-233-6121
EnumeratedOctober 1, 2013
Last updatedOctober 1, 2013
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X9139742 (OR)

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