Austin John Archuleta

Individual provider Active NPI Behavior Technician · Gresham, OR

NPI 1952243438 · NPPES record last updated Apr 6, 2026

Key facts

NPI
1952243438
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1851 NW Civic Dr
Gresham, OR 97030-5566
Phone
(503) 422-0180
NPI assigned
Apr 6, 2026
Sex
Unspecified or another gender identity
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 OR Yes

Addresses

Primary practice location

1851 NW Civic Dr
Gresham, OR 97030-5566

Mailing address

2673 SE Wendy Dr
Gresham, OR 97080-9210
Phone (503) 422-0180

Other providers in Gresham, OR

All providers in Gresham, OR · Behavior Technician in Oregon

Sources for this page

Verify at the official NPI Registry.