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Amanda Jaclyn Brachfeld , BCBA

Behavior Analyst β€’ Portland, OR

Active NPI 1174015655 Individual Practitioner Female Practitioner
Practice location in NPPES

121 Sw Salmon St
Portland, OR 972042908

Call 8558326727 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

121 Sw Salmon St

Portland, OR 972042908

Telephone 8558326727
Organization at the Same NPPES Address or Phone
Positive Behavior Supports Corporation Facility NPI 1073478780

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Portland and Oregon

383 active clinicians are listed under Behavior Analyst with a practice address in Portland, OR (1,425 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Portland

0% of these 383 clinicians have the CMS telehealth indicator.

0% of these 383 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-02-08
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES OR 1-22-63456

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2023

Behavior Analyst (license number reported to NPPES: OR 1-22-63456)

πŸ“
Updated Practice Location February 24, 2022

Registered at 121 SW SALMON ST, PORTLAND, OR 972042908 (Tel: 8558326727)

πŸ“
Updated Business Mailing Address February 24, 2022

Registered at 7108 S KANNER HWY, STUART, FL 349977462 (Tel: 4152793312)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2022

Behavior Analyst (license number reported to NPPES: CA 1-18-33396)

πŸ“
Updated Practice Location January 18, 2019

Registered at 9115 SW OLESON RD STE 100, PORTLAND, OR 972236876 (Tel: 9712360915)

πŸ‘€
Provider Name / Credentials Updated January 18, 2019

Recorded as AMANDA BRACHFELD, BCBA

βœ…
NPI Profile Active May 31, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 31, 2018

Registered at 3110 CAMINO DEL RIO S STE 307, SAN DIEGO, CA 921083832 (Tel: 4152793312)

πŸ“
Business Mailing Address (Initial Record) May 31, 2018

Registered at 3110 CAMINO DEL RIO S STE 307, SAN DIEGO, CA 921083832 (Tel: 4152793312)

πŸ‘€
Provider Name / Credentials (Initial Record) May 31, 2018

Recorded as AMANDA BRACHFELD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2018

Behavior Analyst (license number reported to NPPES: CA 0-17-7749)

🟒
Initial NPI Registration & Enumeration May 31, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174015655
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2018
Last Update: February 08, 2023
Sole Proprietor: No

Mailing Address

7108 S Kanner Hwy

Stuart, FL 349977462

Phone: 4152793312

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.