Provider Demographics
NPI:1285084186
Name:SINGER, SYDNEY (BCBA)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:
Last Name:SINGER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3013 SE WAVERLEIGH BLVD UNIT 10
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-1972
Mailing Address - Country:US
Mailing Address - Phone:818-429-0211
Mailing Address - Fax:
Practice Address - Street 1:3013 SE WAVERLEIGH BLVD UNIT 10
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-1972
Practice Address - Country:US
Practice Address - Phone:818-429-0211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-21
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-15-20674103K00000X
ORB-10195631103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst