Emmar Bazile, BCBA
Individual provider Active NPI Behavior Analyst · Portland, OR
NPI 1881023232 · NPPES record last updated Jun 24, 2020
Key facts
- NPI
- 1881023232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-13-12824 (FL)
- Practice address
- 9115 SW Oleson Rd Ste 100
Portland, OR 97223-6876 - Phone
- (832) 289-2465
- NPI assigned
- Nov 6, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 Analyst | 103K00000X | 1-13-12824 | FL | Yes |
Addresses
Primary practice location
9115 SW Oleson Rd Ste 100
Portland, OR 97223-6876
Mailing address
PO Box 7445
Spokane, WA 99207-0445
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 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.