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Organization
AUTISM ALLYZ LLC
Active
Organization
AUTISM ALLYZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR RIE (DIRECTOR)
(508) 826-0633
Entity
Organization
Contact information
Practice address
17141 SE MARKET ST, PORTLAND, OR 97233-4433
(508) 826-0633
Mailing address
17141 SE MARKET ST, PORTLAND, OR 97233-4433
(508) 826-0633
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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