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

Michelle Anne Licudine

Individual provider Behavior Technician · NPI 1730988551

Michelle Anne Licudine is a Behavior Technician in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2025.

Licensed in
OR
In the registry since
2025

Practice location Address checks out

8695 SE 33rd Ave Apt F
Portland, OR 97222-5570
Phone: (971) 377-9256
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence ABA-IN-10253612 (OR)

Record details

NPI number1730988551
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 12, 2025
Last updated in NPPESMarch 12, 2025
Certification dateMarch 12, 2025

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