Osaretine Agbonze
Behavior Technician in Portland, Oregon
1063093821- Practice location
- 121 SW Salmon St Fl 11, Portland, OR 97204-2908
- Phone
- 503-464-7207
- Fax
- —
- Last updated
- April 14, 2021
Osaretine Agbonze is a Behavior Technician based in Portland, OR. The NPI number for Osaretine Agbonze is 1063093821 and holds license No. ABA-IN-10213741 (OR). The current practice location address is 121 SW Salmon St Fl 11, Portland, OR 97204-2908 and the office can be reached by phone at 503-464-7207. The NPI was assigned on April 14, 2021 and the record was last updated in NPPES on April 14, 2021.
●Provider Profile Details
- NPI Number
- 1063093821
- Provider Name
- Osaretine Agbonze
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Behavior Technician · 106S00000X
- Sole Proprietor
- No
- Enumeration Date
- April 14, 2021
- Last Update Date
- April 14, 2021
- Certification Date
- April 14, 2021
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 121 SW Salmon St Fl 11
Portland, OR 97204-2908 - City
- Portland
- State
- Oregon
- ZIP
- 97204-2908
- Country
- US
- Phone Number
- 503-464-7207
✉Business Mailing Address
- Address
- 121 SW Salmon St Fl 11
Portland, OR 97204-2908 - City
- Portland
- State
- OR
- ZIP
- 97204-2908
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes | ABA-IN-10213741 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Portland →?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) and holds license No. ABA-IN-10213741 (OR).
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 at npiregistry.cms.hhs.gov.