Alexandria R Kisselburgh

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

120 NE 136TH Ave Ste 220
Vancouver, WA 98684-6951

Phone

(503) 234-9591

Fax

(360) 952-7060

NPI assigned

Jul 10, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1033474614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 SE POWELL BLVD # 97202",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023371",
            "telephone_number": "503-234-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NE 136TH AVE STE 220",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846951",
            "telephone_number": "503-234-9591",
            "fax_number": "360-952-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSELBURGH",
        "first_name": "ALEXANDRIA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Jean Kirkpatrick
• Marie A Kirkpatrick, PA-C
• Erica Kirkwood
• Christina K. Kirschenbaum, L.M.P.
• Samuel Vladimir Kiselman
• Sneshana V Kisser
• Nathan Kistler
• Elizabeth Kitalima
• Natasha Kitchen
• Martine Kivatinetz

• Behavior Technician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.