Melody Adyani

Individual provider Active NPI Behavior Technician · Beaverton, OR

NPI 1891306759 · NPPES record last updated Aug 13, 2020

Key facts

NPI
1891306759
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1800 NW 167TH PL Ste 115
Beaverton, OR 97006-4846
Phone
(248) 299-0030
NPI assigned
Aug 13, 2020
Sex
Female
Sole proprietor
No

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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1800 NW 167TH PL Ste 115
Beaverton, OR 97006-4846

Mailing address

27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5326
Phone (248) 436-4366

Other providers in Beaverton, OR

All providers in Beaverton, OR · Behavior Technician in Oregon

Sources for this page

Verify at the official NPI Registry.