Active NPI
Autism Allyz LLC
- Behavior Analyst
- Portland, OR
National Provider Identifier
1285312892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- AUTISM ALLYZ LLC
- Practice address
- 17141 SE Market St
Portland, OR 97233-4433 - Phone
- (508) 826-0633
- NPI assigned
- Jul 5, 2023
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Victor Rie
- Title
- Director
- Phone
- (508) 826-0633
National Provider Directory
National Provider DirectorySpecialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Early Intervention Provider Agency | 252Y00000X |
Addresses
NPPES NPI RegistryPrimary practice location
17141 SE Market St
Portland, OR 97233-4433
Mailing address
17141 SE Market St
Portland, OR 97233-4433
Phone (508) 826-0633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 5, 2023.
{
"created_epoch": "1688515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688515200000",
"number": "1285312892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17141 SE MARKET ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972334433",
"telephone_number": "508-826-0633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17141 SE MARKET ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972334433",
"telephone_number": "508-826-0633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUTISM ALLYZ LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-05",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A",
"authorized_official_last_name": "RIE",
"authorized_official_first_name": "VICTOR",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "508-826-0633"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.