Organization Active NPI

Cascade Behavioral Intervention, LLC

Doing business as Cascade ABA

  • Behavior Analyst
  • Bend, OR
National Provider Identifier
1942537444
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CASCADE BEHAVIORAL INTERVENTION, LLC
Doing business as
Cascade ABA
Practice address
19800 Village Office CT Ste 104
Bend, OR 97702-1813
Phone
(541) 480-2570
NPI assigned
Nov 4, 2009
Last updated
Oct 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Authorized official

Name
Dr. Jenny Fischer, PHD, LBA, BCBA-DNPI 1467696989
Title
Owner
Phone
(541) 306-3483

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

19800 Village Office CT Ste 104
Bend, OR 97702-1813

Mailing address

PO Box 1432
Bend, OR 97709-1432
Phone (541) 480-2570

Other identifiers 2

IdentifierTypeStateIssuer
500687351MedicaidOR
1467696989OtherORINDIVIDUAL NPI

Other names 1

  • Cascade ABA Doing business as

National Provider Directory

National Provider Directory

Locations

19800 Village Office Ct
Ste 104
Bend, OR 97702
Phone (541) 306-3483

Practitioners & affiliated clinicians

Practitioners 59

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.

View all 59

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1942537444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1432",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977091432",
            "telephone_number": "541-480-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19800 VILLAGE OFFICE CT STE 104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021813",
            "telephone_number": "541-480-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE BEHAVIORAL INTERVENTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-306-3483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LBA, BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500687351",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1467696989",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade ABA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.