| Adventures With Autism | |
|
4300 Cherry Ave Ne Keizer OR 97303 | |
| (971) 368-9030 | |
| (503) 336-1061 |
| Full Name | Adventures With Autism |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4300 Cherry Ave Ne, Keizer, Oregon |
| Authorized Official Name and Position | Bethann Marie Silverman (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 9713689030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adventures With Autism 4300 Cherry Ave Ne Keizer OR 97303 Ph: (971) 368-9030 | Adventures With Autism 4300 Cherry Ave Ne Keizer OR 97303 Ph: (971) 368-9030 |
| NPI Number | 1497251516 |
|---|---|
| Provider Enumeration Date | 04/05/2018 |
| Last Update Date | 10/04/2021 |
| Certification Date | 10/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497251516 | NPI | - | NPPES |
| 500761682 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | ABA-B-10182972 (Oregon) | Primary |
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