Individual provider Active NPI

Amber Moreno-Perez

  • Behavior Technician
  • Beaverton, OR
National Provider Identifier
1821621814
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
8344 SW Nimbus Ave
Beaverton, OR 97008-6444
Phone
(971) 202-1414
NPI assigned
Feb 18, 2020
Reactivated
May 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/Technologist 156F00000X
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

8344 SW Nimbus Ave
Beaverton, OR 97008-6444

Mailing address

4748 SE 111TH Ave
Portland, OR 97266-3433
Phone (971) 401-4661

Other practice location 1

3200 San Diego Way
Sacramento, CA 95820-1447
Phone (971) 401-4661

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": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1821621814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4748 SE 111TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972663433",
            "telephone_number": "971-401-4661",
            "fax_number": "971-401-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8344 SW NIMBUS AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970086444",
            "telephone_number": "971-202-1414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 San Diego Way",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958201447",
            "country_code": "US",
            "telephone_number": "971-401-4661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORENO-PEREZ",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "deactivation_date": "2020-02-18",
        "reactivation_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.