What is Andrew Licon's NPI number?

Andrew Licon's National Provider Identifier (NPI) is 1871024687, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Andrew Licon's specialty?

Andrew Licon is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Andrew Licon located?

Andrew Licon's practice location on file with NPPES is 4455 Ne Highway 20, Corvallis, OR 97330-9695.

What is Andrew Licon's phone number?

The practice phone number listed in the NPPES registry for Andrew Licon is (541) 758-5900.

Is Andrew Licon's NPI active?

Yes — Andrew Licon's NPI (1871024687) is active in the NPPES registry as of the last update on 2017-03-23.

IndividualActive

Andrew Licon

NPI 1871024687 · Behavior Technician · Corvallis, OR

Andrew Licon is a Behavior Technician provider in Corvallis, OR (NPI 1871024687).

Provider details

NPI number: 1871024687
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(64/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
9 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

4455 Ne Highway 20

Corvallis, OR 97330-9695

Phone: (541) 758-5900

Street-level locationGet directions

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Mailing address