Individual
JESSICA BILODEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9115 SW OLESON RD STE 100, PORTLAND, OR 97223-6876
(510) 268-8120
Mailing address
PO BOX 1572, LONGVIEW, WA 98632-7946
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-70358
WA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/22/2019
Last updated
01/26/2024
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