Summer Barraza
Individual provider Active NPI Behavior Technician · Gresham, OR
NPI 1750994604 · NPPES record last updated Aug 28, 2020
Key facts
- NPI
- 1750994604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1851 NW Civic Dr
Gresham, OR 97030-5566 - Phone
- (971) 292-1050
- NPI assigned
- Aug 28, 2020
- 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 Technician | 106S00000X | Yes |
Addresses
Primary practice location
1851 NW Civic Dr
Gresham, OR 97030-5566
Mailing address
1851 NW Civic Dr
Gresham, OR 97030-5566
Phone (971) 292-1050
Other providers in Gresham, OR
- Holly A Barnett
- Mary K Barnhart
- Nicole Barone
- Leslie Barr
- Tiffany Rae Barr
- Kimberly Barrientos-Sandoval
- Lisa Barrow
- Adam Randall Bartling
- Karen E Bartling
- Matthew Joseph Bartolotti
All providers in Gresham, OR · Behavior Technician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2020. 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.