Elliott Anderson, BCBA
Individual provider Active NPI Behavior Analyst · Portland, OR
NPI 1609533173 · NPPES record last updated Feb 3, 2026
Key facts
- NPI
- 1609533173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 12155668 (SC)
- Practice address
- One World Trade Center
121 Southwest Salmon Street, 11TH Floor
Portland, OR 97204-0000 - Phone
- (855) 832-6727
- Fax
- (772) 675-9100
- NPI assigned
- Nov 19, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 12155668 | SC | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 12155668 | SC | Yes |
Addresses
Primary practice location
One World Trade Center
121 Southwest Salmon Street, 11TH Floor
Portland, OR 97204-0000
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2026. 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.