Tayler Millage

Key facts

NPI

1245067131

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Technician 106S00000X

Practice address

1800 NW 169TH PL Ste C100
Beaverton, OR 97006-7362

Phone

(503) 747-2587

NPI assigned

Sep 16, 2024

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Westside Behavior Therapy, LLC. Behavior Analyst · Beaverton, OR · NPI 1356733901
  NPD

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 16, 2024.

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1245067131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 NW 169TH PL STE C100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067362",
            "telephone_number": "503-747-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 NW 169TH PL STE C100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067362",
            "telephone_number": "503-747-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLAGE",
        "first_name": "TAYLER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Beaverton, OR · Behavior Technician in Oregon