NPIMap

Organization Active NPI

Play Connections Autism Services

  • Behavior Analyst
  • Beaverton, OR
National Provider Identifier
1922556232
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
ABA-B-10166920 Issued in OR
Legal business name
PLAY CONNECTIONS AUTISM SERVICES
Practice address
1800 NW 169TH PL
B100
Beaverton, OR 97006-4848
Phone
(503) 350-7050
NPI assigned
Sep 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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

Authorized official

Name
Melanie Shaw
Title
Owner
Phone
(503) 350-7050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X ABA-B-10166920 OR Primary

Addresses

Primary practice location

1800 NW 169TH PL
B100
Beaverton, OR 97006-4848

Mailing address

1800 NW 169TH PL
B100
Beaverton, OR 97006-4848
Phone (503) 350-7050

National Provider Directory

National Provider Directory
Tax ID family
Play Connections Autism Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1800 NW 169th Pl
Ste B100
Beaverton, OR 97006
Phone (503) 350-7050

Practitioners & affiliated clinicians

Practitioners 47

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1922556232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 NW 169TH PL",
            "address_2": "B100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064848",
            "telephone_number": "503-350-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 NW 169TH PL",
            "address_2": "B100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064848",
            "telephone_number": "503-350-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAY CONNECTIONS AUTISM SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-350-7050"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "OR",
            "license": "ABA-B-10166920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.

Verify at the official NPI Registry.