| Northwest Aba | |
|
4133 Vickie Ct Hubbard OR 97032-9544 | |
| (503) 409-3659 | |
| Not Available |
| Full Name | Northwest Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4133 Vickie Ct, Hubbard, Oregon |
| Authorized Official Name and Position | Lindsey Pieschel (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 5034093659 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Aba 4133 Vickie Ct Hubbard OR 97032-9544 Ph: (503) 409-3659 | Northwest Aba 4133 Vickie Ct Hubbard OR 97032-9544 Ph: (503) 409-3659 |
| NPI Number | 1124782131 |
|---|---|
| Provider Enumeration Date | 10/26/2021 |
| Last Update Date | 10/26/2021 |
| Certification Date | 10/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124782131 | NPI | - | NPPES |
| 1003275579 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |