Organization · Type 2 NPI

Mindful Behavior Support Inc

Specialist · Eugene, OR

NPI number 1154983765 Active

Practice location

492 E 13th Ave
Eugene, OR 97401-4268

Call (541) 520-6440 Map

Mailing address

PO Box 210
Dexter, OR 97431-0210

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	None listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

18 other providers at this address

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NPI record

NPI: 1154983765
Entity type: Organization (Type 2)
Issued: Jul 3, 2019
Last updated: Jul 3, 2019
Status: Active

Other names

Mindful Behavior Support Inc · doing business as
Pro Support On-Demand Inc · former legal business name

Authorized official

Jennifer Wells, PhD
President
(541) 520-6440

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1154983765

Mindful Behavior Support Inc's National Provider Identifier is 1154983765, issued on Jul 3, 2019. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Eugene, OR. The record was last updated on Jul 3, 2019.