Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Allie Marie Randall

Individual provider Behavior Technician · NPI 1164010625

Allie Marie Randall is a Behavior Technician in Gresham, Oregon. Licensed in Oregon. Registered with an NPI since 2021.

Licensed in
OR
In the registry since
2021

Practice location Address checks out

912 NE Kelly Ave # 100C
Gresham, OR 97030-5629
Phone: (503) 912-5502
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence ABAIN10211664 (OR)

Record details

NPI number1164010625
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 9, 2021
Last updated in NPPESJanuary 9, 2021
Certification dateJanuary 9, 2021

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