| Behaviorpdx | |
|
9735 Sw Shady Ln Ste 103 Tigard OR 97223-5481 | |
| (310) 310-2931 | |
| Not Available |
| Full Name | Behaviorpdx |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9735 Sw Shady Ln Ste 103, Tigard, Oregon |
| Authorized Official Name and Position | Nicholas Weatherly (COO) |
| Authorized Official Contact | 3216164354 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behaviorpdx 9735 Sw Shady Ln Ste 103 Tigard OR 97223-5481 Ph: () - | Behaviorpdx 9735 Sw Shady Ln Ste 103 Tigard OR 97223-5481 Ph: (310) 310-2931 |
| NPI Number | 1740921402 |
|---|---|
| Provider Enumeration Date | 04/06/2022 |
| Last Update Date | 04/06/2022 |
| Certification Date | 04/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740921402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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