Active NPIIndividual provider

Osaretine Agbonze

Behavior Technician in Portland, Oregon

NPI Number1063093821
Practice location
121 SW Salmon St Fl 11, Portland, OR 97204-2908
Fax
—
Last updated
April 14, 2021

Osaretine Agbonze is a Behavior Technician based in Portland, OR. Osaretine Agbonze practices in Portland, OR. The NPI Number for Osaretine Agbonze is 1063093821 and holds a License No. ABA-IN-10213741 (OR). The current practice location address for Osaretine Agbonze is 121 SW Salmon St Fl 11, Portland, OR 97204-2908 and can be reached out via phone at 503-464-7207.

Provider Profile Details

NPI Number
1063093821
Provider Name
Osaretine Agbonze
Provider Entity Type
Individual
Gender
Female
Address
121 SW Salmon St Fl 11, Portland, OR 97204-2908
Phone Number
503-464-7207
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
No
Provider Enumeration Date
April 14, 2021
Last Update Date
April 14, 2021
Certification Date
April 14, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
121 SW Salmon St Fl 11
Portland, OR 97204-2908
State
Oregon
Zip
97204-2908
Phone Number
503-464-7207
Portland, OR 97204Get directions →

Provider Business Mailing Address Details

Address
121 SW Salmon St Fl 11
Portland, OR 97204-2908
City
Portland
State
OR
Zip
97204-2908

License Information

License Number
ABA-IN-10213741
License State
OR
Taxonomy
Behavior Technician · 106S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Osaretine Agbonze?

The NPI number of Osaretine Agbonze is 1063093821. It was assigned on April 14, 2021 and is currently active in the NPPES registry.

What is the specialty of Osaretine Agbonze?

Osaretine Agbonze is registered under the primary taxonomy Behavior Technician (code 106S00000X), licensed in OR under license number ABA-IN-10213741.

Where does Osaretine Agbonze practice?

The practice location is 121 SW Salmon St Fl 11, Portland, OR 97204-2908. The office can be reached at 503-464-7207 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063093821 directly on the NPPES registry website.

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