Individual provider Active NPI

Leann Theresa Decker-Shah, M.S., BCBA, LBA

  • Behavior Analyst
  • Portland, OR
National Provider Identifier
1134525348
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
10230 N Barr Ave
Portland, OR 97203-1125
Phone
(386) 209-1001
NPI assigned
Nov 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

10230 N Barr Ave
Portland, OR 97203-1125

Mailing address

10230 N Barr Ave
Portland, OR 97203-1125
Phone (386) 209-1001

Other practice location 1

2631 Merrick Rd Ste 202
Bellmore, NY 11710-5784
Phone (516) 590-7575

Other names 1

  • Leann Theresa Decker Former name

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1416009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1134525348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10230 N BARR AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972031125",
            "telephone_number": "386-209-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10230 N BARR AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972031125",
            "telephone_number": "386-209-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2631 Merrick Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Bellmore",
            "state": "NY",
            "postal_code": "117105784",
            "country_code": "US",
            "telephone_number": "516-590-7575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECKER-SHAH",
        "first_name": "LEANN",
        "middle_name": "THERESA",
        "credential": "M.S., BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-15",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEANN",
            "last_name": "DECKER",
            "middle_name": "THERESA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 14, 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.

Verify at the official NPI Registry.