Individual
AMANDA NOELLE ABI HAIDAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13033 SE RUSK RD, MILWAUKIE, OR 97222-2107
(628) 587-7237
Mailing address
13033 SE RUSK RD, MILWAUKIE, OR 97222-2107
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OR
Other
Enumeration date
07/09/2026
Last updated
07/09/2026
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