Westside Behavior Therapy, LLC.
Organization Active NPI Behavior Analyst · Beaverton, OR
NPI 1356733901 · NPPES record last updated Oct 5, 2020
Key facts
- NPI
- 1356733901
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- ABA-B-10168550 (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
- Organization subpart
- No
Authorized official
- Name
- Kelsey Townsend, M.ED., BCBA, LBA
- Title
- Owner
- Phone
- (503) 747-2587
Practitioners 52
-
Melissa Pollard, M.ED., BCBA
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | ABA-B-10168550 | OR | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500709065 | Medicaid | OR |
Other providers in Beaverton, OR
- Western Psychological and Counseling Services PC
- Western Psychological and Counseling Services PC
- Western Psychological and Counseling Services PC
- Andrew Scott Westhora
- Shauneen Lynn Westmiller
- Westside Physical Therapy PC
- Westside Spine & Sports Physical Therapy
- Amanda Whaley
- Chloe Whaley
- Jennifer Wheeler
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.