Junior Alexis
Individual provider Active NPI Behavior Technician · Portland, OR
NPI 1184192015 · NPPES record last updated Nov 8, 2018
Key facts
- NPI
- 1184192015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1675 SW Marlow Ave Ste 200
Portland, OR 97225-5102 - Phone
- (510) 679-3545
- NPI assigned
- Nov 8, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1675 SW Marlow Ave Ste 200
Portland, OR 97225-5102
Mailing address
25604 SW Canyon Creek Rd Apt T101
Wilsonville, OR 97070-7683
Other providers in Portland, OR
- Will Khoa Alexander
- Zachary Palmer Alexander
- Alexandra Dahm DDS LLC
- Rose-Yvenie Alexandre
- Alexis Lessard-Templin, LCSW, LLC
- Roberto Antonio Alfaro
- John Alferes Jr.
- Victoria Isabel Alferez-Dickerson
- Mariah Alford
- Vanessa Alger
All providers in Portland, OR · Behavior Technician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.