Maia Chloe Hallak

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

18330 SW Deline St
Beaverton, OR 97078-3814

Phone

(602) 622-5917

NPI assigned

Sep 25, 2024

Last updated

Sep 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Starlight Behavioral Health, LLC

  • Behavior Analyst
  • Beaverton, OR
  • NPI 1063299857

  Behavior Technician

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1881411270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 SE 47TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972152511",
            "telephone_number": "832-290-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18330 SW DELINE ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970783814",
            "telephone_number": "602-622-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLAK",
        "first_name": "MAIA",
        "middle_name": "CHLOE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Annette Hall, MD
• John Gregory Hall, DMD
• K. Christopher Hall, PA-C
• Leroy T Hall Sr., LMT
• Sarah Hall, LMT
• Patricia Hallam, L.AC.
• Lillian Kate Hallett, M.S., CF-SLP
• Melissa J Hallett, RBT
• Brandy Halprin, LCSW
• Theresa Halter, LPC

• Behavior Technician in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Behavior Technician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.