Active NPI
Nathelle Comeau
- Behavior Analyst
- Eugene, OR
National Provider Identifier
1881145308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1117941
- Practice address
- 555 E 15TH Ave
Eugene, OR 97401-4314 - Phone
- (541) 345-0805
- NPI assigned
- Oct 19, 2016
- Last updated
- Oct 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1117941 | OR | Primary |
Addresses
Primary practice location
555 E 15TH Ave
Eugene, OR 97401-4314
Mailing address
PO Box 10639
Eugene, OR 97440-2639
Phone (541) 345-0805
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 |
|---|---|---|---|
| 1117941 | OR | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476835200000",
"number": "1881145308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10639",
"city": "EUGENE",
"state": "OR",
"postal_code": "974402639",
"telephone_number": "541-345-0805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 E 15TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974014314",
"telephone_number": "541-345-0805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMEAU",
"first_name": "NATHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-19",
"last_updated": "2016-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OR",
"license": "1117941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.