Active NPIIndividual provider

Kelly L Boylan

Assistant Behavior Analyst in Beaverton, Oregon

NPI Number1508407305
Practice location
1800 NW 169TH Pl Ste B100, Beaverton, OR 97006-7362
Fax
—
Last updated
November 23, 2020

Kelly L Boylan is a Assistant Behavior Analyst based in Beaverton, OR. The NPI number for Kelly L Boylan is 1508407305. The current practice location address is 1800 NW 169TH Pl Ste B100, Beaverton, OR 97006-7362 and the office can be reached by phone at 503-350-7050. The NPI was assigned on October 2, 2019 and the record was last updated in NPPES on November 23, 2020.

●Provider Profile Details

NPI Number
1508407305
Provider Name
Kelly Lynn Boylan
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Assistant Behavior Analyst · 106E00000X
Sole Proprietor
No
Enumeration Date
October 2, 2019
Last Update Date
November 23, 2020
Certification Date
November 23, 2020
NPI Status
Active

◉Business Practice Location Address

Address
1800 NW 169TH Pl Ste B100
Beaverton, OR 97006-7362
State
Oregon
ZIP
97006-7362
Country
US
Phone Number
503-350-7050

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✉Business Mailing Address

Address
1800 NW 169TH Pl Ste B100
Beaverton, OR 97006-7362
City
Beaverton
State
OR
ZIP
97006-7362
Phone Number
503-350-7050

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Assistant Behavior Analyst106E00000XYes——

#Other Provider Identifiers

No legacy or other 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 Kelly L Boylan?

The NPI number of Kelly L Boylan is 1508407305. It was assigned on October 2, 2019 and is currently active in the NPPES registry.

What is the specialty of Kelly L Boylan?

Kelly L Boylan is registered under the primary taxonomy Assistant Behavior Analyst (code 106E00000X).

Where does Kelly L Boylan practice?

The practice location is 1800 NW 169TH Pl Ste B100, Beaverton, OR 97006-7362. The office can be reached at 503-350-7050 (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 1508407305 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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