Individual provider Active NPI

Ursula Wurster

  • Behavior Technician
  • Portland, OR
National Provider Identifier
1033944293
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
10245740 Issued in OR
Practice address
35 NE 197TH Ave
Portland, OR 97230-8006
Phone
(503) 473-1876
Fax
(877) 831-7109
NPI assigned
Sep 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 10245740 OR Primary

Addresses

Primary practice location

35 NE 197TH Ave
Portland, OR 97230-8006

Mailing address

35 NE 197TH Ave
Portland, OR 97230-8006
Phone (503) 473-1876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10245740ORMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Embracing Autism ABA, LLC CurrentSince Sep 8, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1033944293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 NE 197TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972308006",
            "telephone_number": "503-473-1876",
            "fax_number": "877-831-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 NE 197TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972308006",
            "telephone_number": "503-473-1876",
            "fax_number": "877-831-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURSTER",
        "first_name": "URSULA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OR",
            "license": "10245740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.