Andrew Licon

Behavior Technician · Corvallis, OR

Individual Active NPI

NPI number 1871024687

Practice location

4455 NE Highway 20
Corvallis, OR 97330-9695
Phone
(541) 758-5900

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NPI record

NPI
1871024687
Entity type
Individual (Type 1)
Enumeration date
March 23, 2017
Last updated
March 23, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

About Andrew Licon

Andrew Licon is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 4455 NE Highway 20, Corvallis, OR 97330-9695. The NPI number 1871024687 was assigned on March 23, 2017 and the record was last updated on March 23, 2017.

Frequently asked questions

What is the NPI number of Andrew Licon?

The NPI number is 1871024687.

What is the phone number of Andrew Licon?

The phone number listed for the practice location is (541) 758-5900.

Where is Andrew Licon located?

4455 NE Highway 20, Corvallis, OR 97330-9695.

What is the taxonomy code for Andrew Licon?

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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