Organization Active NPI

Oregon Institute of Technology

  • Behavior Analyst
  • Klamath Falls, OR
National Provider Identifier
1932605508
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-05-2497
Legal business name
OREGON INSTITUTE OF TECHNOLOGY
Practice address
2631 Washburn Way
Klamath Falls, OR 97603
Phone
(850) 933-4742
NPI assigned
Apr 3, 2018
Last updated
Apr 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Authorized official

Name
Dr. Dawn Allison Bailey, BCBA-D, LBANPI 1447402094
Title
Assoc Prof/Clinical Director
Phone
(541) 885-1673

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 1-05-2497 Primary
Assistant Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 106E00000X 1-05-2497
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X 1-05-2497

Addresses

Primary practice location

2631 Washburn Way
Klamath Falls, OR 97603

Mailing address

3201 Campus Dr
Klamath Falls, OR 97601-8801
Phone (541) 885-1673

Other names 1

  • Behavior Improvement Group Other name

National Provider Directory

National Provider Directory
Tax ID family
Oregon Institute of Technology2 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

2631 Washburn Way
Klamath Falls, OR 97603
Phone (850) 933-4742

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1932605508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 CAMPUS DR",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976018801",
            "telephone_number": "541-885-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 WASHBURN WAY",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "97603",
            "telephone_number": "850-933-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON INSTITUTE OF TECHNOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "ALLISON",
        "authorized_official_title_or_position": "ASSOC PROF/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "541-885-1673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BCBA-D, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-05-2497",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": "1-05-2497",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": "1-05-2497",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavior Improvement Group",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Behavior Improvement Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.