Tumalo Behavioral Intervention | |
536 Sw 12th St Redmond OR 97756-2601 | |
(541) 719-8342 | |
Not Available |
Full Name | Tumalo Behavioral Intervention |
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Speciality | Behavior Analyst |
Location | 536 Sw 12th St, Redmond, Oregon |
Authorized Official Name and Position | Troy Forsyth (CLINICAL DIRECTOR) |
Authorized Official Contact | 5417198342 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tumalo Behavioral Intervention 3665 Sw Coyote Ln Redmond OR 97756-7281 Ph: (541) 719-8342 | Tumalo Behavioral Intervention 536 Sw 12th St Redmond OR 97756-2601 Ph: (541) 719-8342 |
NPI Number | 1376248989 |
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Provider Enumeration Date | 04/03/2023 |
Last Update Date | 04/03/2023 |
Certification Date | 04/03/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376248989 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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