IndividualActive
Kelly Boylan
NPI 1508407305 · Assistant Behavior Analyst · Beaverton, OR
Provider details
- NPI number
- 1508407305
- Entity type
- Individual
- Primary specialty
- Assistant Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1800 Nw 169th Pl Ste B100
Beaverton, OR 97006-7362
Phone: (503) 350-7050
Street-level locationGet directions
Mailing address
1800 Nw 169th Pl Ste B100
Beaverton, OR 97006-7362
Registry dates
- Enumerated
- 2019-10-02
- Last updated
- 2020-11-23
- Certified
- 2020-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.