Active NPI
Brenda Flores
- Behavior Analyst
- Lafayette, OR
National Provider Identifier
1811323165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 5965950
- Practice address
- 1063 14TH St
Lafayette, OR 97127-9657 - Phone
- (971) 300-8353
- NPI assigned
- Sep 18, 2013
- Last updated
- Sep 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 5965950 | OR | Primary |
Addresses
Primary practice location
1063 14TH St
Lafayette, OR 97127-9657
Mailing address
1063 14TH St
Lafayette, OR 97127-9657
Phone (971) 300-8353
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 |
|---|---|---|---|
| 5965950 | OR | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379462400000",
"number": "1811323165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1063 14TH ST",
"city": "LAFAYETTE",
"state": "OR",
"postal_code": "971279657",
"telephone_number": "971-300-8353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1063 14TH ST",
"city": "LAFAYETTE",
"state": "OR",
"postal_code": "971279657",
"telephone_number": "971-300-8353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "BRENDA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-18",
"last_updated": "2013-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OR",
"license": "5965950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.