| Play Connections Autism Services | |
|
1800 Nw 169th Pl B100 Beaverton OR 97006-4848 | |
| (503) 350-7050 | |
| Not Available |
| Full Name | Play Connections Autism Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1800 Nw 169th Pl, Beaverton, Oregon |
| Authorized Official Name and Position | Melanie Shaw (OWNER) |
| Authorized Official Contact | 5033507050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Play Connections Autism Services 1800 Nw 169th Pl B100 Beaverton OR 97006-4848 Ph: (503) 350-7050 | Play Connections Autism Services 1800 Nw 169th Pl B100 Beaverton OR 97006-4848 Ph: (503) 350-7050 |
| NPI Number | 1922556232 |
|---|---|
| Provider Enumeration Date | 09/15/2016 |
| Last Update Date | 09/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922556232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | ABA-B-10166920 (Oregon) | Primary |
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