Whalio Doctors

NPI 1023591047

Rachel M. Jackson, BEHAVIORANALYST

Practitioner Behavior Analyst Portland, OR

Practice location

Address
4949 SW Macadam Ave # 30, Portland, OR 97239-3912
Phone
(888) 273-4292
Fax
(888) 293-3374
Mailing address
11037 Warner Ave # 339, Fountain Valley, CA 92708-4007

Registered specialties (2)

Behavior Analyst Primary
Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence ABA-B-10209046 (OR)
Behavior Technician
Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-18-53582 (CO)

Registry record

NPI
1023591047
Entity type
Individual
Sex (as registered)
Female
NPI issued
14 Sep 2018
Record last updated
22 Dec 2020

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.