Individual provider Active NPI

Aimee Votaw

  • Behavior Technician
  • Wilsonville, OR
National Provider Identifier
1457719072
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
10174396 Issued in OR
Practice address
29174 SW Town Center Loop W Ste 101
Wilsonville, OR 97070-9309
Phone
(971) 252-6155
NPI assigned
Feb 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 10174396 OR
Behavior Technician 106S00000X 00001701 OR
Behavior Technician 106S00000X 10174396 OR Primary

Addresses

Primary practice location

29174 SW Town Center Loop W Ste 101
Wilsonville, OR 97070-9309

Mailing address

2600 Oxnard St.
Suite 1800
Woodland Hills, CA 91367
Phone (818) 345-2345

Other practice location 1

6200 SW Artic Drive
Beaverton, OR 97005
Phone (503) 224-2184

Other practice location 2

6200 SW Artic Drive
Beaverton, OR 97005
Phone (503) 224-2184

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00001701ORMDBehavior Technician
10174396ORMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1457719072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 OXNARD ST.",
            "address_2": "SUITE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "91367",
            "telephone_number": "818-345-2345",
            "fax_number": "818-449-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29174 SW TOWN CENTER LOOP W STE 101",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709309",
            "telephone_number": "971-252-6155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6200 SW Artic Drive",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "97005",
            "country_code": "US",
            "telephone_number": "503-224-2184",
            "fax_number": "818-449-0994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6200 SW Artic Drive",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "97005",
            "country_code": "US",
            "telephone_number": "503-224-2184",
            "fax_number": "818-449-0994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOTAW",
        "first_name": "AIMEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OR",
            "license": "10174396",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OR",
            "license": "00001701",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OR",
            "license": "10174396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilsonville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.