Olivia Cuddeford, Bai

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

10204612 Issued in OR

Practice address

18765 SW Boones Ferry Rd Ste 100
Tualatin, OR 97062-8607

Phone

(503) 612-1000

NPI assigned

Apr 9, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1174086912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18765 SW BOONES FERRY RD STE 100",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628607",
            "telephone_number": "503-612-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18765 SW BOONES FERRY RD STE 100",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628607",
            "telephone_number": "503-612-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUDDEFORD, BAI",
        "first_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OR",
            "license": "10204612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janis Irene Crawford, LPC
• Carrie Jennifer Crider
• Catherine E Crim, MD
• Alexander Criscuolo
• Theresa Crumpton, MSW
• Cyti Health Providers PC
• Cyti Psychology LLC
• Pamela Susan Dahm, M.S., CCC-SLP
• Margaret Dallas, DPT
• Daniel Petrisor DMD MD LLC

• Behavior Analyst in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Behavior Analyst in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.

Verify at the official NPI Registry.