Active NPI
Courteney Tse
- Behavior Analyst
- Keaau, HI
National Provider Identifier
1104485564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 12045367
- Practice address
- 16-660 Keala Street
Keaau, HI 96749-8137 - Phone
- (808) 746-4717
- NPI assigned
- Jun 10, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 12045367 | CA | Primary |
Addresses
Primary practice location
16-660 Keala Street
Keaau, HI 96749-8137
Mailing address
16-660 Keala Street
Keaau, HI 96749-8137
Other practice location 1
1800 NW 167th Pl Ste 115
Beaverton, OR 97006-4846
Phone (855) 772-8847
Other practice location 2
912 NE Kelly Ave
Gresham, OR 97030-5629
Phone (855) 772-8847
Other practice location 3
4600 25th Ave NE Ste 100
Salem, OR 97301-0338
Phone (855) 772-8847
Other practice location 4
1600 NW 167th Pl Ste 320
Beaverton, OR 97006-4806
Phone (855) 772-8847
Other practice location 5
900 NW Eastman Pkwy Ste 38
Gresham, OR 97030-5533
Phone (855) 772-8847
Other practice location 6
6135 NE 80th Ave
Portland, OR 97218-4033
Phone (855) 772-8847
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 |
|---|---|---|---|
| 12045367 | CA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1104485564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16-660 KEALA STREET",
"city": "KEAAU",
"state": "HI",
"postal_code": "967498137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16-660 KEALA STREET",
"city": "KEAAU",
"state": "HI",
"postal_code": "967498137",
"telephone_number": "808-746-4717"
}
],
"practiceLocations": [
{
"address_1": "1800 NW 167th Pl Ste 115",
"address_purpose": "LOCATION",
"city": "Beaverton",
"state": "OR",
"postal_code": "970064846",
"country_code": "US",
"telephone_number": "855-772-8847",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "912 NE Kelly Ave",
"address_purpose": "LOCATION",
"city": "Gresham",
"state": "OR",
"postal_code": "970305629",
"country_code": "US",
"telephone_number": "855-772-8847",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4600 25th Ave NE Ste 100",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "973010338",
"country_code": "US",
"telephone_number": "855-772-8847",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 NW 167th Pl Ste 320",
"address_purpose": "LOCATION",
"city": "Beaverton",
"state": "OR",
"postal_code": "970064806",
"country_code": "US",
"telephone_number": "855-772-8847",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 NW Eastman Pkwy Ste 38",
"address_purpose": "LOCATION",
"city": "Gresham",
"state": "OR",
"postal_code": "970305533",
"country_code": "US",
"telephone_number": "855-772-8847",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6135 NE 80th Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972184033",
"country_code": "US",
"telephone_number": "855-772-8847",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TSE",
"first_name": "COURTENEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-10",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "12045367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keaau, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.