NPI 1003515636

Alexander Criscuolo

Practitioner Behavior Technician Tualatin, OR

Practice location

Address: 18765 SW Boones Ferry Rd STE 100, Tualatin, OR 97062-8607
Phone: (503) 612-1000
Mailing address: 450 NW Skyline Blvd, Portland, OR 97229-6800

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Oregon →

Registry record

NPI: 1003515636
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Mar 2023
Record last updated: 2 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.