Active NPI
Dorothy Leticia Nakibirige
- Behavior Technician
- Salem, OR
National Provider Identifier
1083258404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- J800177819108
- Practice address
- 3400 State St Ste G750
Salem, OR 97301-7012 - Phone
- (651) 707-6144
- NPI assigned
- Oct 29, 2019
- 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 | J800177819108 | MN | Primary |
Addresses
Primary practice location
3400 State St Ste G750
Salem, OR 97301-7012
Mailing address
615 Westbury LN
Georgetown, TX 78633-1848
Phone (651) 707-6144
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 |
|---|---|---|---|
| J800177819108 | MN | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1083258404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 WESTBURY LN",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786331848",
"telephone_number": "651-707-6144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 STATE ST STE G750",
"city": "SALEM",
"state": "OR",
"postal_code": "973017012",
"telephone_number": "651-707-6144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKIBIRIGE",
"first_name": "DOROTHY",
"middle_name": "LETICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-29",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MN",
"license": "J800177819108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.