Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICKOLAS STARK, BCABA
ActiveNICKOLAS STARK, BCABA is a Behavior Analyst healthcare provider located in BEAVERTON, Oregon. NPI 1700353661 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · BEAVERTON, OR
Registration Details
- NPI Number
- 1700353661
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 30, 2018 (7.7524636355819 yrs)
- Last Updated
- Oct 30, 2018
- License
-
0-18-8679
Practice Information
- Address
-
6200 SW ARCTIC DRBEAVERTON, OR, 970059447Browse OR providers · Browse ZIP 97005
- Phone
- 5032242184
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in BEAVERTON, OR
| Name | Credential | NPI |
|---|---|---|
| MELANIE KONG-SHAW | M.A., B.C.B.A | 1295007086 |
| MS. ALEXANDRA FLORENCE MCCALLEN | M. ED., BCBA | 1497091458 |
| KRISTIN NICOLE WILKINSON SMITH | M.ED., BCBA, LBA | 1639411382 |
| KELSEY TOWNSEND | M.ED., BCBA, LBA | 1972942142 |
| REBECCA PHILLIPS | BCBA | 1306286802 |
| JOY MAYER GULSETH | M.A. | 1114355484 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.