NPIMap

Organization Active NPI

Westside Behavior Therapy, LLC.

  • Behavior Analyst
  • Beaverton, OR
National Provider Identifier
1356733901
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
ABA-B-10168550 Issued in OR
Legal business name
WESTSIDE BEHAVIOR THERAPY, LLC.
Practice address
1800 NW 169TH PL Ste C100
Beaverton, OR 97006-7362
Phone
(503) 747-2587
Fax
(503) 746-6323
NPI assigned
Feb 19, 2015
Last updated
Oct 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kelsey Townsend, M.ED., BCBA, LBANPI 1972942142
Title
Owner
Phone
(503) 747-2587

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X ABA-B-10168550 OR Primary

Addresses

Primary practice location

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

Mailing address

1800 NW 169TH PL Ste C100
Beaverton, OR 97006-7362
Phone (503) 747-2587

National Provider Directory

National Provider Directory

Locations

1800 NW 169th Pl
Ste A300
Beaverton, OR 97006
Phone (503) 747-2587

1800 NW 169th Pl
Ste C100
Beaverton, OR 97006
Phone (503) 747-2587

Practitioners & affiliated clinicians

Practitioners 56

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.

View all 56

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1356733901",
    "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",
            "fax_number": "503-746-6323"
        },
        {
            "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",
            "fax_number": "503-746-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE BEHAVIOR THERAPY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-19",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-747-2587",
        "authorized_official_credential": "M.ED., BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "OR",
            "license": "ABA-B-10168550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.