Leah Baird
Individual provider Active NPI Behavior Analyst · Tualatin, OR
NPI 1427520576 · NPPES record last updated Dec 28, 2018
Key facts
- NPI
- 1427520576
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- RBT-18-72640 (OR)
- Practice address
- 17610 SW 108TH PL
Tualatin, OR 97062-8426 - Phone
- (503) 341-0413
- NPI assigned
- Dec 28, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-72640 | OR | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | RBT-18-72640 | OR | Yes |
Addresses
Primary practice location
17610 SW 108TH PL
Tualatin, OR 97062-8426
Mailing address
17610 SW 108TH PL
Tualatin, OR 97062-8426
Phone (503) 341-0413
Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2018. 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.