NPIMap

Organization Active NPI

Synergy Autism Center, LLC

  • Behavior Analyst
  • Portland, OR
National Provider Identifier
1528437142
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
GRANDFATHERED-IN Issued in OR
Legal business name
SYNERGY AUTISM CENTER, LLC
Practice address
7739 SW Capitol Hwy
#220
Portland, OR 97219-2571
Phone
(503) 432-8760
NPI assigned
Sep 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Authorized official

Name
Barbara Avila
Title
Owner/Member
Phone
(503) 432-8760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X GRANDFATHERED-IN OR Primary

Addresses

Primary practice location

7739 SW Capitol Hwy
#220
Portland, OR 97219-2571

Mailing address

7739 SW Capitol Hwy
#220
Portland, OR 97219-2571
Phone (503) 432-8760

National Provider Directory

National Provider Directory

Locations

7739 SW Capitol Hwy
Ste 220
Portland, OR 97219
Phone (503) 432-8760

NPI Registry JSON

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1528437142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7739 SW CAPITOL HWY",
            "address_2": "#220",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192571",
            "telephone_number": "503-432-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7739 SW CAPITOL HWY",
            "address_2": "#220",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192571",
            "telephone_number": "503-432-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY AUTISM CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "503-432-8760"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "OR",
            "license": "GRANDFATHERED-IN",
            "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 Sep 24, 2015; 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.