Active NPI
Lindsay Rae Nelson, BCBA
- Behavior Analyst
- Portland, OR
National Provider Identifier
1639433378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BCBA: 1-12-11823
- Practice address
- 2800 SW Peaceful LN
Portland, OR 97239-1161 - Phone
- (503) 489-7540
- NPI assigned
- Jun 27, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BCBA: 1-12-11823 | CA | Primary |
Addresses
Primary practice location
2800 SW Peaceful LN
Portland, OR 97239-1161
Mailing address
2800 SW Peaceful LN
Portland, OR 97239-1161
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601596800000",
"number": "1639433378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 SW PEACEFUL LN",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972391161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 SW PEACEFUL LN",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972391161",
"telephone_number": "503-489-7540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "LINDSAY",
"middle_name": "RAE",
"name_prefix": "Miss",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-27",
"last_updated": "2020-10-02",
"certification_date": "2020-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "BCBA: 1-12-11823",
"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 Oct 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.