Jacqueline Armijo
Individual provider Active NPI Behavior Analyst · Portland, OR
NPI 1619442183 · NPPES record last updated Oct 10, 2018
Key facts
- NPI
- 1619442183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 2717 NE Broadway St
Portland, OR 97232-1722 - Phone
- (971) 256-3400
- NPI assigned
- Oct 10, 2018
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
2717 NE Broadway St
Portland, OR 97232-1722
Mailing address
21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
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 Oct 10, 2018. 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.