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

Shiva Rezaei

Individual provider Behavior Technician · NPI 1972489789

Shiva Rezaei is a Behavior Technician in Portland, Oregon. Licensed in Arizona. Registered with an NPI since 2025.

Licensed in
AZ
In the registry since
2025

Practice location Address checks out

2800 SW Peaceful Ln
Portland, OR 97239-1161
Phone: (503) 516-9085
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 24-342565 (AZ)

Record details

NPI number1972489789
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 15, 2025
Last updated in NPPESAugust 15, 2025
Certification dateAugust 10, 2025
Mailing address2800 Sw Peaceful Ln, Portland, OR 97239-1161

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