Active NPI
Alice Keyl Austin, PH.D., BCBA-D, LBA
- Behavior Analyst
- Portland, OR
National Provider Identifier
1881987287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-07-3840
- Practice address
- 11481 SW Hall Blvd Ste 104
Portland, OR 97223-8403 - Phone
- (971) 258-5555
- Fax
- (888) 972-1390
- NPI assigned
- May 18, 2011
- Last updated
- Jul 21, 2022
- 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 | ABA-B-10167139 | OR | |
| Behavior Analyst | 103K00000X | 1-07-3840 | NU | Primary |
Addresses
Primary practice location
11481 SW Hall Blvd Ste 104
Portland, OR 97223-8403
Mailing address
11481 SW Hall Blvd Ste 104
Portland, OR 97223-8403
Phone (971) 258-5555
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ABA-B-10167139 | OR | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aka Consulting | Behavior Analyst | Current | Accepting new patients |
Locations
11481 SW Hall Blvd
Ste 104
Tigard, OR 97223
Phone (971) 258-5555
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1881987287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11481 SW HALL BLVD STE 104",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972238403",
"telephone_number": "971-258-5555",
"fax_number": "888-972-1390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11481 SW HALL BLVD STE 104",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972238403",
"telephone_number": "971-258-5555",
"fax_number": "888-972-1390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "ALICE",
"middle_name": "KEYL",
"credential": "PH.D., BCBA-D, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OR",
"license": "ABA-B-10167139",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": "1-07-3840",
"primary": true
}
],
"identifiers": [],
"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 Jul 21, 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.