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Bonnie Catherine Love

Behavior Technician in Beaverton, OR. Individual provider (NPI-1).

NPI number1669918801
StatusActive
Last updated in NPPESJul 6, 2026

Details

NPI
1669918801
Entity type
Individual (NPI-1)
Name
Bonnie Catherine Love
Sex
Female
Sole proprietor
No
Enumeration date
Jan 11, 2017
Certification date
Jul 6, 2026
Last updated
Jul 6, 2026

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 codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianABA-IN-10256729ORYes

Practice location

16850 Sw Ledgestone Dr
Beaverton, OR 97007-5189

Phone 971-425-1014

Mailing address

41521 W 11 Mile Rd
Novi, MI 48375-1803

Phone 248-299-0030

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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.

Other Behavior Technician providers in Beaverton, OR

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