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

Jacqueline Marris

Individual provider Behavior Technician · NPI 1710511795

Jacqueline Marris is a Behavior Technician in Portland, Oregon. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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Practice location Address checks out

5457 SW Canyon Ct
Portland, OR 97221-2401
Phone: (971) 762-4663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1710511795
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 27, 2020
Last updated in NPPESNovember 13, 2023
Certification dateNovember 13, 2023
Mailing address5457 Sw Canyon Ct, Portland, OR 97221-2401

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