NPI 1124491139

Adam Leonard Elias, BSBT

Practitioner Other Technician Corvallis, OR

Practice location

Address: 4455 NE Highway 20, Corvallis, OR 97330-9695
Phone: (503) 234-9591
Mailing address: 3415 SE Powell Blvd., Portland, OR 97202

Registered specialties (2)

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Oregon →

Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1124491139 (OR)

Other Behavior Analyst providers in Oregon →

Registry record

NPI: 1124491139
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Nov 2015
Record last updated: 25 Nov 2015

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.