ALLIE MARIE RANDALL NPI 1164010625

NPI Information

  • NPI: 1164010625
  • Provider Name: ALLIE MARIE RANDALL
  • Classification: Behavior Technician - 106S00000X
  • Entity Type: Individual
  • Address: 912 NE KELLY AVE # 100C
    GRESHAM, OR
    ZIP 97030
  • Phone: (503) 912-5502

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NPI Details

Allie Marie Randall is a behavior technician in Gresham, OR. The provider is the behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. Allie Marie Randall NPI is 1164010625. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

912 NE KELLY AVE # 100C
GRESHAM, OR
ZIP 97030-629
Phone: (503) 912-5502

The enumeration date for this NPI number is 1/9/2021 and was last updated on 1/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1106S00000XBehavior TechnicianABAIN10211664OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1UC0000L4VMEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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