NPI 1740921402 · live from the CMS NPI Registry
Behaviorpdx
Behavior Analyst in Tigard, OR. National Provider Identifier 1740921402, active.
NPI record
| NPI | 1740921402 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 9735 Sw Shady Ln Ste 103, Tigard, OR 97223 |
| Practice phone | 310-310-2931 |
| Enumerated | April 6, 2022 |
| Last updated | April 6, 2022 |
| Authorized official | Nicholas Weatherly, Coo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.