Tumalo Behavioral Intervention
Behavior Analyst in Redmond, OR. Organization (NPI-2).
NPI number1376248989
StatusActive
Last updated in NPPESApr 3, 2023
Details
- NPI
- 1376248989
- Entity type
- Organization (NPI-2)
- Legal business name
- Tumalo Behavioral Intervention
- Organization subpart
- No
- Enumeration date
- Apr 3, 2023
- Certification date
- Apr 3, 2023
- Last updated
- Apr 3, 2023
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 |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
536 Sw 12th StRedmond, OR 97756-2601
Phone 541-719-8342
Mailing address
3665 Sw Coyote LnRedmond, OR 97756-7281
Phone 541-719-8342
Authorized official
Troy Forsyth
Clinical Director
5417198342
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