DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANDREW LICON

Active

ANDREW LICON is a Behavior Technician healthcare provider located in CORVALLIS, Oregon. NPI 1871024687 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · CORVALLIS, OR

Registration Details

NPI Number
1871024687
Provider Type
Individual
Gender
Male
NPI Issued
Mar 23, 2017 (9.3550098766145 yrs)
Last Updated
Mar 23, 2017

Practice Information

Address
4455 NE HIGHWAY 20
CORVALLIS, OR, 973309695
Browse OR providers · Browse ZIP 97330
Phone
5417585900
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in CORVALLIS, OR

Name Credential NPI
JOSEPH BERNARD SKELTON 1568908705
ALEC SACHS 1992246755
DR. CANDICE MICHELLE WEEMS LANDRY PHD, QMHA 1568903862
JENNIFER KIM 1689109100
ASHLEY ALYN COUCH 1457835365
CHELSEA ANN WHITLOW SHAY MA, QMHA 1538622113
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.