Individual provider Active NPI

Amelia Backus

  • Behavior Technician
  • Beaverton, OR
National Provider Identifier
1982579587
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1800 NW 169TH PL Ste C100
Beaverton, OR 97006-7362
Phone
(503) 747-2587
Fax
(503) 746-6323
NPI assigned
Oct 6, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Behavior Therapy, LLC. CurrentSince Oct 12, 2025 Accepting new patients

Locations

1800 NW 169th Pl
Ste C100
Beaverton, OR 97006
Phone (503) 747-2587

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

1800 NW 169TH PL Ste C100
Beaverton, OR 97006-7362

Mailing address

1800 NW 169TH PL Ste C100
Beaverton, OR 97006-7362
Phone (503) 747-2587

NPI Registry JSON

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1982579587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 NW 169TH PL STE C100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067362",
            "telephone_number": "503-747-2587",
            "fax_number": "503-746-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 NW 169TH PL STE C100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067362",
            "telephone_number": "503-747-2587",
            "fax_number": "503-746-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKUS",
        "first_name": "AMELIA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "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 Oct 6, 2025; 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.