| Star Autism Support | |
|
9915 Sw Arctic Dr Beaverton OR 97005-4194 | |
| (503) 297-2864 | |
| (503) 292-4173 |
| Full Name | Star Autism Support |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9915 Sw Arctic Dr, Beaverton, Oregon |
| Authorized Official Name and Position | Kara Magee-arick (EDUCATIONAL CONSULTANT) |
| Authorized Official Contact | 5032972864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Star Autism Support 6663 Sw Beaverton Hillsdale Hwy Box 119 Portland OR 97225-1403 Ph: (503) 297-2864 | Star Autism Support 9915 Sw Arctic Dr Beaverton OR 97005-4194 Ph: (503) 297-2864 |
| NPI Number | 1972993475 |
|---|---|
| Provider Enumeration Date | 02/04/2015 |
| Last Update Date | 02/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972993475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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