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

Andrew Licon

Individual provider Behavior Technician · NPI 1871024687

Andrew Licon is a Behavior Technician in Corvallis, Oregon. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

4455 NE Highway 20
Corvallis, OR 97330-9695
Phone: (541) 758-5900
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1871024687
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 23, 2017
Last updated in NPPESMarch 23, 2017
Mailing address4455 Ne Highway 20, Corvallis, OR 97330-9695

Other providers in Corvallis