NPI 1730536913 · live from the CMS NPI Registry
Krystle Alligood, BCBA, LBA
Behavior Analyst in Portland, OR. National Provider Identifier 1730536913, active.
NPI record
| NPI | 1730536913 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 3500 N Interstate Ave, Portland, OR 97227 |
| Practice phone | 503-509-5469 |
| Mailing address | 11109 Se 52nd Ave, Milwaukie, OR 97222 |
| Enumerated | May 18, 2016 |
| Last updated | March 7, 2022 |
| Sole proprietor | No |
| Other names | Krystle Hurst |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | 2016003802 (MO) |
| Behavior Analyst primary | 103K00000X | ABA-B-10176354 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.