Active NPI
Courtney Czarniecki
- Behavior Analyst
- Beaverton, OR
National Provider Identifier
1528544905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 10192985
- Practice address
- 1800 NW 167TH PL Ste 115
Beaverton, OR 97006-4846 - Phone
- (855) 772-8847
- NPI assigned
- Jul 18, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-18-31350 | CA | |
| Behavior Analyst | 103K00000X | 10192985 | OR | Primary |
Addresses
Primary practice location
1800 NW 167TH PL Ste 115
Beaverton, OR 97006-4846
Mailing address
27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5312
Other practice location 1
39 Quail Ct Ste 203
Walnut Creek, CA 94596-5569
Phone (855) 772-8847
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10192985 | OR | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1528544905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27777 INKSTER RD STE 100",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483345312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 NW 167TH PL STE 115",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970064846",
"telephone_number": "855-772-8847"
}
],
"practiceLocations": [
{
"address_1": "39 Quail Ct Ste 203",
"address_purpose": "LOCATION",
"city": "Walnut Creek",
"state": "CA",
"postal_code": "945965569",
"country_code": "US",
"telephone_number": "855-772-8847",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CZARNIECKI",
"first_name": "COURTNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-18",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-18-31350",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OR",
"license": "10192985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.