Healthcare Provider Details

I. General information

NPI: 1215623509
Provider Name (Legal Business Name): NATALIE ROSE FELDMAN BCABA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2023
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8585 SW CASCADE AVE STE 200
BEAVERTON OR
97008-7496
US

IV. Provider business mailing address

5019 FOOTHILLS RD APT C
LAKE OSWEGO OR
97034-3200
US

V. Phone/Fax

Practice location:
  • Phone: 866-523-4268
  • Fax:
Mailing address:
  • Phone: 520-561-1843
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number23-267879
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License NumberABA-AB-10272454
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: