Aliah Baltazar
Individual provider Active NPI Behavior Technician · Gresham, OR
NPI 1215809447 · NPPES record last updated Sep 18, 2025
Key facts
- NPI
- 1215809447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1851 NW Civic Dr
Gresham, OR 97030-5566 - Phone
- (971) 292-1050
- NPI assigned
- Sep 18, 2025
- Sex
- Female
- 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
1851 NW Civic Dr
Gresham, OR 97030-5566
Mailing address
7500 San Felipe St Ste 990
Houston, TX 77063-1708
Phone (866) 610-0580
Other providers in Gresham, OR
- Balance Health & Injury Clinic, PC
- Adelaide Ball
- Melissa Ballard
- Heather Ann Ballou Wells
- Angela Balogh
- Titas Banerjee
- Cecilia Marie Baranyk
- Jessica Ashley Barbosa
- Ethan Barfield
- Dale Ronald Barker
All providers in Gresham, 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 Sep 18, 2025. 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.