Active NPI
Elizabeth Joanna Chacon
- Behavior Technician
- Portland, OR
National Provider Identifier
1043087380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- IN-10235061
- Practice address
- 35 NE 197TH Ave
Portland, OR 97230-8006 - Phone
- (503) 473-1876
- NPI assigned
- Dec 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | IN-10235061 | OR | Primary |
Addresses
Primary practice location
35 NE 197TH Ave
Portland, OR 97230-8006
Mailing address
908 Salisbury GRN
Virginia Beach, VA 23452-6123
Phone (757) 406-7397
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
| License | State | Type | Specialty |
|---|---|---|---|
| IN-10235061 | OR | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hampton Roads ABA | Current | Accepting new patients | |
| Embracing Autism ABA, LLC | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Behavior Analyst
- Portland, OR
- NPI 1942934377
-
- Community/Behavioral Health Agency
- Virginia BCH, VA
- NPI 1881286383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1043087380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 SALISBURY GRN",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234526123",
"telephone_number": "757-406-7397"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHACON",
"first_name": "ELIZABETH",
"middle_name": "JOANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-06",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OR",
"license": "IN-10235061",
"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 Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.