IndividualActive
Adam Dewater, RBT
NPI 1205342292 · Behavior Technician · Portland, OR
Provider details
- NPI number
- 1205342292
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- RBT
- Sex
- Male
- Sole proprietor
- No
- License
- RBT-16-19744 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
9115 Sw Oleson Rd Ste 100
Portland, OR 97223-6876
Phone: (971) 236-0915
Approximate (ZIP-level) locationGet directions
Mailing address
11665 Avena Pl Ste 204
San Diego, CA 92128-2428
Additional practice locations (1)
- 11665 Avena Pl Ste 204San Diego, CA 92128-2428Phone: (760) 346-4200
Registry dates
- Enumerated
- 2017-12-28
- Last updated
- 2019-12-17
- Certified
- 2019-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.