Provider Type Icon

SOUTHERN OREGON ABA NPI 1790295350


NPI Information

NPI: 1790295350
Provider Name: SOUTHERN OREGON ABA
Classification: Behavior Analyst - 103K00000X
Entity Type: Organization

CLIA Number: 38D2205975

Address:
2030 TAYLOR RD
CENTRAL POINT, OR
ZIP 97502
Phone: (541) 727-1592
Get Directions

SOUTHERN OREGON ABA is a behavior analyst in Central Point, OR. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. SOUTHERN OREGON ABA NPI is 1790295350. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2030 TAYLOR RD
CENTRAL POINT, OR
ZIP 97502-762
Phone: (541) 727-1592
Fax: (541) 664-3407

The provider's authorized official is Nikole April Mcewen .
The authorized official title is Clinical Director/owner and has the following contact phone number (541) 727-1592.

The CLIA number assigned to this NPI record is 38D2205975 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/9/2017 and was last updated on 10/9/2017.


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
1103K00000XBehavior AnalystABA-B-10175208OREGONYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.