| Aba Of Portland Corp. | |
|
11304 Se 35th Ave Milwaukie OR 97222-6764 | |
| (786) 569-3941 | |
| (888) 391-5328 |
| Full Name | Aba Of Portland Corp. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 11304 Se 35th Ave, Milwaukie, Oregon |
| Authorized Official Name and Position | Igor Ernesto Bruzual (PRESIDENT) |
| Authorized Official Contact | 7865693941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Of Portland Corp. 11304 Se 35th Ave Milwaukie OR 97222-6764 Ph: (786) 569-3941 | Aba Of Portland Corp. 11304 Se 35th Ave Milwaukie OR 97222-6764 Ph: (786) 569-3941 |
| NPI Number | 1336606755 |
|---|---|
| Provider Enumeration Date | 02/21/2019 |
| Last Update Date | 02/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336606755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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