Whalio Doctors

NPI 1205378478

Brenna Johnson, BCABA

Practitioner Assistant Behavior Analyst Portland, OR

Practice location

Address
3415 SE Powell Blvd, Portland, OR 97202-3371
Phone
(503) 234-9591

Registered specialties

Assistant Behavior Analyst Primary
Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence 0-16-7370 (OR)

Registry record

NPI
1205378478
Entity type
Individual
Sex (as registered)
Female
NPI issued
4 Nov 2016
Record last updated
4 Nov 2016

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.