Karen Yessenia Alonso-Granados

Individual provider Active NPI Behavior Technician · Gresham, OR

NPI 1376415786 · NPPES record last updated Sep 23, 2025

Key facts

NPI
1376415786
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1851 NW Civic Dr
Gresham, OR 97030-5566
Phone
(971) 292-1050
NPI assigned
Sep 23, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1851 NW Civic Dr
Gresham, OR 97030-5566

Mailing address

1851 NW Civic Dr
Gresham, OR 97030-5566
Phone (971) 292-1050

Other providers in Gresham, OR

All providers in Gresham, OR · Behavior Technician in Oregon

Sources for this page

Verify at the official NPI Registry.