Wellformed AI

NPI 1699247619 · live from the CMS NPI Registry

Alyssa Nichole Boyle

Behavior Analyst in Portland, OR. National Provider Identifier 1699247619, active.

NPI record

NPI1699247619 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location9115 Sw Oleson Rd Ste 100, Portland, OR 97223
Practice phone971-236-0915
Mailing address519 Taybin Rd Nw, Salem, OR 97304
EnumeratedJanuary 2, 2019
Last updatedJanuary 2, 2019
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.