NPIMap

Organization Active NPI

Essential Behaviaral Analysis LLC

  • Behavior Analyst
  • Portland, OR
National Provider Identifier
1225774490
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ESSENTIAL BEHAVIARAL ANALYSIS LLC
Doing business as
EBA
Practice address
7133 N Lombard St
Portland, OR 97203-3205
Phone
(503) 267-1844
NPI assigned
May 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Authorized official

Name
Mrs. Vida DjorgeeNPI 1932042363
Title
Coo
Phone
(503) 267-1844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

7133 N Lombard St
Portland, OR 97203-3205

Mailing address

7133 N Lombard St
Portland, OR 97203-3205
Phone (503) 267-1844

Other names 1

  • EBA Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1225774490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7133 N LOMBARD ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972033205",
            "telephone_number": "503-267-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7133 N LOMBARD ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972033205",
            "telephone_number": "503-267-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL BEHAVIARAL ANALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "DJORGEE",
        "authorized_official_first_name": "VIDA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "503-267-1844",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EBA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 10, 2022; 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.