NPIMap

Organization Active NPI

Mighty Oak ABA LLC

  • Behavior Analyst
  • Portland, OR
National Provider Identifier
1477148641
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MIGHTY OAK ABA LLC
Practice address
327 SE 139TH Ave
Portland, OR 97233-1849
Phone
(818) 427-6126
NPI assigned
Mar 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Authorized official

Name
Nirvana Kowlessar-HirshleiferNPI 1417491085
Title
Owner
Phone
(818) 427-6126

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: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

327 SE 139TH Ave
Portland, OR 97233-1849

Mailing address

327 SE 139TH Ave
Portland, OR 97233-1849

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1477148641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 SE 139TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 SE 139TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331849",
            "telephone_number": "818-427-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGHTY OAK ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "KOWLESSAR-HIRSHLEIFER",
        "authorized_official_first_name": "NIRVANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-427-6126"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.