IndividualActive
Alexander Criscuolo
NPI 1003515636 · Behavior Technician · Tualatin, OR
Provider details
- NPI number
- 1003515636
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
18765 Sw Boones Ferry Rd Ste 100
Tualatin, OR 97062-8607
Phone: (503) 612-1000
Approximate (ZIP-level) locationGet directions
Mailing address
450 Nw Skyline Blvd
Portland, OR 97229-6800
Registry dates
- Enumerated
- 2023-03-02
- Last updated
- 2023-03-02
- Certified
- 2023-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.