Organization Active NPI

Autism Allyz LLC

  • Behavior Analyst
  • Portland, OR
National Provider Identifier
1285312892
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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 Directory

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Early Intervention Provider Agency 252Y00000X

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.