Individual provider Active NPI

Vanessa Alger, BCBA

  • Behavior Analyst
  • Portland, OR
National Provider Identifier
1215439369
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
ABA-B-10208012 Issued in OR
Practice address
1675 SW Marlow Ave Ste 200
Portland, OR 97225-5102
Phone
(971) 248-2395
NPI assigned
Mar 5, 2018
Last updated
May 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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 ABA-B-10208012 OR Primary

Addresses

Primary practice location

1675 SW Marlow Ave Ste 200
Portland, OR 97225-5102

Mailing address

1675 SW Marlow Ave Ste 200
Portland, OR 97225-5102
Phone (201) 696-2755

Other practice location 1

3110 Camino Del Rio S
San Diego, CA 92108-3812
Phone (619) 795-9925

Other practice location 2

3110 Camino Del Rio S Ste 307
San Diego, CA 92108-3832
Phone (619) 795-9925

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL hdhdhd.com

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

LicenseStateTypeSpecialty
ABA-B-10208012ORMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Kinfolk NC ABA LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1215439369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 SW MARLOW AVE STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255102",
            "telephone_number": "201-696-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 SW MARLOW AVE STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255102",
            "telephone_number": "971-248-2395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3110 Camino Del Rio S",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921083812",
            "country_code": "US",
            "telephone_number": "619-795-9925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3110 Camino Del Rio S Ste 307",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921083832",
            "country_code": "US",
            "telephone_number": "619-795-9925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALGER",
        "first_name": "VANESSA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-05",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OR",
            "license": "ABA-B-10208012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hdhdhd.com",
            "affiliation": "N",
            "address_1": "1675 SW Marlow Ave Ste 200",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972255102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 May 26, 2020; 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.