| Westside Behavior Therapy, Llc. | |
|
1800 Nw 169th Pl Ste C100 Beaverton OR 97006-7362 | |
| (503) 747-2587 | |
| (503) 746-6323 |
| Full Name | Westside Behavior Therapy, Llc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1800 Nw 169th Pl Ste C100, Beaverton, Oregon |
| Authorized Official Name and Position | Kelsey Townsend (OWNER) |
| Authorized Official Contact | 5037472587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Behavior Therapy, Llc. 1800 Nw 169th Pl Ste C100 Beaverton OR 97006-7362 Ph: (503) 747-2587 | Westside Behavior Therapy, Llc. 1800 Nw 169th Pl Ste C100 Beaverton OR 97006-7362 Ph: (503) 747-2587 |
| NPI Number | 1356733901 |
|---|---|
| Provider Enumeration Date | 02/19/2015 |
| Last Update Date | 10/05/2020 |
| Certification Date | 10/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356733901 | NPI | - | NPPES |
| 500709065 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | ABA-B-10168550 (Oregon) | Primary |
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