Allie Marie Randall

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

ABAIN10211664 Issued in OR

Practice address

912 NE Kelly Ave # 100C
Gresham, OR 97030-5629

Phone

(503) 912-5502

NPI assigned

Jan 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1610150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610150400000",
    "number": "1164010625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 NE 17TH ST APT A107",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970304567",
            "telephone_number": "503-933-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 NE KELLY AVE # 100C",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305629",
            "telephone_number": "503-912-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "ALLIE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-09",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OR",
            "license": "ABAIN10211664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "UC0000L4V",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "allierandall@centerforautism.com",
            "affiliation": "N",
            "endpointDescription": "iPad/email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "912 NE Kelly Ave # 100C",
            "city": "Gresham",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970305629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cameron Ramos
• Cheyenne Renee Ramos
• Dwayne Ramos
• Robert William Ramsey, D.C.
• Hiren T Rana, MD
• Robert Rankin
• Katheryn Rapson, DMD
• Theresa M Rardin, PA
• Erik Michael Rasmusson
• Pamela J. Rathbone, WHCNP

• Behavior Technician in Gresham, OR
• Providers in Gresham, OR by specialty
• Behavior Technician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; 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.