Active NPI
Amber Moreno-Perez
- Behavior Technician
- Beaverton, OR
National Provider Identifier
1821621814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.