Active NPI
Evergreen Behavior Services, LLC
- Behavior Analyst
- Bend, OR
National Provider Identifier
1295657468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- EVERGREEN BEHAVIOR SERVICES, LLC
- Practice address
- 61357 Elkhorn St
Bend, OR 97702-3957 - Phone
- (714) 928-0468
- NPI assigned
- Jul 28, 2026
- Last updated
- Jul 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kaylee Engelder, MS, BCBA, LBA
- Title
- Owner
- Phone
- (541) 224-6804
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
61357 Elkhorn St
Bend, OR 97702-3957
Mailing address
61357 Elkhorn St
Bend, OR 97702-3957
Phone (541) 224-6804
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Behavior Analyst
- Bend, OR
- NPI 1306327143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785196800000",
"number": "1295657468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61357 ELKHORN ST",
"city": "BEND",
"state": "OR",
"postal_code": "977023957",
"telephone_number": "541-224-6804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61357 ELKHORN ST",
"city": "BEND",
"state": "OR",
"postal_code": "977023957",
"telephone_number": "714-928-0468"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVERGREEN BEHAVIOR SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-28",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A",
"authorized_official_last_name": "ENGELDER",
"authorized_official_first_name": "KAYLEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "541-224-6804",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS, BCBA, LBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.