Healthcare Provider Details

I. General information

NPI: 1255892014
Provider Name (Legal Business Name): JOSHUA LAWTON BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2019
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10001 SE SUNNYSIDE RD STE 215
CLACKAMAS OR
97015-9739
US

IV. Provider business mailing address

12025 SE STEVENS RD APT 72
HAPPY VALLEY OR
97086-7547
US

V. Phone/Fax

Practice location:
  • Phone: 503-908-9699
  • Fax:
Mailing address:
  • Phone: 971-998-9012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: