| Project Odyssey Aba, Llc | |
|
18840 Nw Rock Creek Cir Apt 285 Portland OR 97229-7204 | |
| (337) 292-5906 | |
| Not Available |
| Full Name | Project Odyssey Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 18840 Nw Rock Creek Cir Apt 285, Portland, Oregon |
| Authorized Official Name and Position | Dominique Rougeau (OWNER/BEHAVIOR ANALYST) |
| Authorized Official Contact | 3372925906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Project Odyssey Aba, Llc 18840 Nw Rock Creek Cir Apt 285 Portland OR 97229-7204 Ph: (337) 602-8884 | Project Odyssey Aba, Llc 18840 Nw Rock Creek Cir Apt 285 Portland OR 97229-7204 Ph: (337) 292-5906 |
| NPI Number | 1114688660 |
|---|---|
| Provider Enumeration Date | 01/06/2022 |
| Last Update Date | 04/11/2025 |
| Certification Date | 04/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114688660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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