| Behavioral Learning Network - Oregon Llc | |
|
1827 Ne 44th Ave Ste 390 Portland OR 97213-1461 | |
| (310) 993-4499 | |
| (310) 993-4134 |
| Full Name | Behavioral Learning Network - Oregon Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1827 Ne 44th Ave Ste 390, Portland, Oregon |
| Authorized Official Name and Position | Gregory Elsky (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3109934499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Learning Network - Oregon Llc 5435 Balboa Blvd Ste 202 Encino CA 91316-1570 Ph: (310) 993-4499 | Behavioral Learning Network - Oregon Llc 1827 Ne 44th Ave Ste 390 Portland OR 97213-1461 Ph: (310) 993-4499 |
| NPI Number | 1780248849 |
|---|---|
| Provider Enumeration Date | 04/24/2019 |
| Last Update Date | 04/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780248849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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