Active NPI
Jonah Aaron Greenberg
- Behavior Technician
- Tigard, OR
National Provider Identifier
1245810274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- A598463
- Practice address
- 15290 SW Royalty Pkwy
Tigard, OR 97224-4059 - Phone
- (971) 256-4050
- NPI assigned
- Apr 13, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | A598463 | OR | Primary |
Addresses
Primary practice location
15290 SW Royalty Pkwy
Tigard, OR 97224-4059
Mailing address
15745 SW Colyer Way
Tigard, OR 97224-0936
Phone (503) 686-4823
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
| License | State | Type | Specialty |
|---|---|---|---|
| A598463 | OR | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618272000000",
"number": "1245810274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15745 SW COLYER WAY",
"city": "TIGARD",
"state": "OR",
"postal_code": "972240936",
"telephone_number": "503-686-4823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15290 SW ROYALTY PKWY",
"city": "TIGARD",
"state": "OR",
"postal_code": "972244059",
"telephone_number": "971-256-4050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBERG",
"first_name": "JONAH",
"middle_name": "AARON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-13",
"last_updated": "2021-04-13",
"certification_date": "2021-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OR",
"license": "A598463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.