| Southern Oregon Aba, Llc | |
|
2030 Taylor Rd Central Point OR 97502-1762 | |
| (541) 727-1592 | |
| Not Available |
| Full Name | Southern Oregon Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2030 Taylor Rd, Central Point, Oregon |
| Authorized Official Name and Position | Nikole April Mcewen (OWNER) |
| Authorized Official Contact | 5417271592 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Oregon Aba, Llc 2030 Taylor Rd Central Point OR 97502-1762 Ph: (541) 727-1592 | Southern Oregon Aba, Llc 2030 Taylor Rd Central Point OR 97502-1762 Ph: (541) 727-1592 |
| NPI Number | 1194205591 |
|---|---|
| Provider Enumeration Date | 08/15/2018 |
| Last Update Date | 08/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194205591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | A (Oregon) | Primary |
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