| Behavioral Imprints Llc | |
|
16850 Sw Ledgestone Dr Beaverton OR 97007-5189 | |
| (971) 425-1014 | |
| Not Available |
| Full Name | Behavioral Imprints Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 16850 Sw Ledgestone Dr, Beaverton, Oregon |
| Authorized Official Name and Position | Alexandra F Mccallen (CEO/OWNER/BCBA) |
| Authorized Official Contact | 9714251014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Imprints Llc 16850 Sw Ledgestone Dr Beaverton OR 97007-5189 Ph: (971) 425-1014 | Behavioral Imprints Llc 16850 Sw Ledgestone Dr Beaverton OR 97007-5189 Ph: (971) 425-1014 |
| NPI Number | 1093511255 |
|---|---|
| Provider Enumeration Date | 02/19/2025 |
| Last Update Date | 02/19/2025 |
| Certification Date | 02/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093511255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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