Alexandria Bourgo

Behavior Technician · Gresham, OR

Individual Active NPI

NPI number 1861972069

Practice location

912 NE Kelly Ave Ste 100c
Gresham, OR 97030-5629
Phone
(503) 912-5503

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NPI record

NPI
1861972069
Entity type
Individual (Type 1)
Enumeration date
August 16, 2018
Last updated
August 16, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone
(818) 345-2345

About Alexandria Bourgo

Alexandria Bourgo is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 912 NE Kelly Ave Ste 100c, Gresham, OR 97030-5629. The NPI number 1861972069 was assigned on August 16, 2018 and the record was last updated on August 16, 2018.

Frequently asked questions

What is the NPI number of Alexandria Bourgo?

The NPI number is 1861972069.

What is the phone number of Alexandria Bourgo?

The phone number listed for the practice location is (503) 912-5503.

Where is Alexandria Bourgo located?

912 NE Kelly Ave Ste 100c, Gresham, OR 97030-5629.

What is the taxonomy code for Alexandria Bourgo?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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