NPI 1992443220 · live from the CMS NPI Registry
Blue Aba Oregon LLC
Behavior Analyst in Portland, OR. National Provider Identifier 1992443220, active.
NPI record
| NPI | 1992443220 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 10260 Sw Greenburg Rd Ste 400, Portland, OR 97223 |
| Practice phone | 786-521-1587 |
| Mailing address | 3921 Alton Rd Unit 107, Miami Beach, FL 33140 |
| Enumerated | May 25, 2022 |
| Last updated | August 12, 2022 |
| Authorized official | Gershon Fink, Manager |
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.