Active NPI
Allison Holt, BCBA
- Behavior Analyst
- Portland, OR
National Provider Identifier
1881138634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-34235
- Practice address
- 9115 SW Oleson Rd Ste 100
Portland, OR 97223-6876 - Phone
- (971) 236-0915
- NPI assigned
- Dec 13, 2016
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | B-10196524 | OR | |
| Behavior Analyst | 103K00000X | 1-18-34235 | Primary |
Addresses
Primary practice location
9115 SW Oleson Rd Ste 100
Portland, OR 97223-6876
Mailing address
139 Barker Ave
Oregon City, OR 97045-3421
Phone (530) 513-0462
Other practice location 1
41521 W 11 Mile Rd
Novi, MI 48375-1803
Phone (248) 299-0030
Other practice location 2
11481 SW Hall Blvd Ste 104
Portland, OR 97223-8403
Phone (971) 258-5555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B-10196524 | Other | OR | OREGON HLO-LBA |
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 |
|---|---|---|---|
| B-10196524 | OR | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aka Consulting | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Portland, OR
- NPI 1992115570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618358400000",
"number": "1881138634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 BARKER AVE",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970453421",
"telephone_number": "530-513-0462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9115 SW OLESON RD STE 100",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972236876",
"telephone_number": "971-236-0915"
}
],
"practiceLocations": [
{
"address_1": "41521 W 11 Mile Rd",
"address_purpose": "LOCATION",
"city": "Novi",
"state": "MI",
"postal_code": "483751803",
"country_code": "US",
"telephone_number": "248-299-0030",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11481 SW Hall Blvd Ste 104",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972238403",
"country_code": "US",
"telephone_number": "971-258-5555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLT",
"first_name": "ALLISON",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-13",
"last_updated": "2021-04-14",
"certification_date": "2021-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OR",
"license": "B-10196524",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-18-34235",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON HLO-LBA",
"identifier": "B-10196524",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.