Breanna Gravley
Behavior Technician in Hillsboro, OR. Individual provider (NPI-1).
NPI number1033720206
StatusActive
Last updated in NPPESAug 12, 2020
Details
- NPI
- 1033720206
- Entity type
- Individual (NPI-1)
- Name
- Breanna Gravley
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 12, 2020
- Certification date
- Aug 12, 2020
- Last updated
- Aug 12, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | IN-10208862 | OR | Yes |
Practice location
5801 Ne Cornelius Pass RdHillsboro, OR 97124-9370
Phone 971-762-1144
Mailing address
21600 Oxnard St Ste 1800Woodland Hills, CA 91367-7807
Phone 818-345-2345
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 125 Behavior Technician providers in Hillsboro · All 3,897 providers in Hillsboro
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