| Tumalo Behavioral Intervention | |
|
536 Sw 12th St Redmond OR 97756-2601 | |
| (541) 719-8342 | |
| Not Available |
| Full Name | Tumalo Behavioral Intervention |
|---|---|
| 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 |
|---|---|
| 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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